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[NCIPC] Three-Month Survey: Module WB4518, Talking about Naloxone
[OADC] CDC Usability and Digital Content Testing
OMB: 0920-1050
IC ID: 266188
OMB.report
HHS/CDC
OMB 0920-1050
ICR 202505-0920-006
IC 266188
( )
Documents and Forms
Document Name
Document Type
[NCIPC] Three-Month Survey: Module WB4518, Talking about Naloxone
Form and Instruction
Talking about Naloxone survey
Att. 3_Three-Month Survey Instrument_Module WB4518, Talking about Naloxone.docx
Form and Instruction
Att. 1_OMB Privacy Determination_Three-Month Survey_Module WB4518, Talking about Naloxone-Collection of Routine Customer Feedback (002).pdf
Privacy Assessment
IC Document
Att. 4_Screenshots_ Three-Month Survey_Module WB4518, Talking about Naloxone_.docx
Survey Screenshots
IC Document
Att. 2_1050_GenIC_Request Template Service Delivery_ Three Month Survey_Module WB4518 Talking about Naloxone.docx
GenIC Request Template
IC Document
Information Collection (IC) Details
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