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CH STRONG KIDS (Congenital Heart Survey To Recognize Outcomes, Needs, and wellbeinG of KIDS)
[NCBDDD] Population-based Surveillance of Outcomes, Needs, and Well-being of Children and Adolescents with Congenital Heart Defects
OMB: 0920-1382
IC ID: 254790
OMB.report
HHS/CDC
OMB 0920-1382
ICR 202503-0920-005
IC 254790
( )
Documents and Forms
Document Name
Document Type
Form 0920-1382
CH STRONG KIDS (Congenital Heart Survey To Recognize Outcomes, Needs, and wellbeinG of KIDS)
Form and Instruction
0920-1382 CH STRONG KIDS (English, paper)
Att 4_Paper Survey English_Feb25_TC_clean.docx
Form and Instruction
0920-1382 Congenital Heart Survey To Recognize Outcomes, Needs, and wellbeinG of KIDS (Spanish, paper)
Att 5_Paper Survey Spanish_Feb25_TC_clean.docx
Form and Instruction
0920-1382 CH STRONG KIDS (Congenital Heart Survey to Recognize Outcomes, Needs, and wellbeinG of KIDS)Congenital Heart Survey To Recognize Outcomes, Needs, and wellbeinG of KIDS (Somali, paper)
Att 23_Paper Survey Somali_Feb25_TC_clean.docx
Form and Instruction
0920-1382 CH STRONG KIDS (Congenital Heart Survey to Recognize Outcomes, Needs, and wellbeinG of KIDS)Congenital Heart Survey To Recognize Outcomes, Needs, and wellbeinG of KIDS (English, online)
Att 24_Online Survey English_Feb25_TC.docx
Form and Instruction
0920-1382 CH STRONG KIDS (Congenital Heart Survey to Recognize Outcomes, Needs, and wellbeinG of KIDS)Congenital Heart Survey To Recognize Outcomes, Needs, and wellbeinG of KIDS (Spanish, online)
Att 25_Online Survey Spanish_Feb25_TC.docx
Form and Instruction
Congenital Heart Survey To Recognize Outcomes, Needs, and wellbeinG of KIDS (English, phone, MA)
Att 32_MA Phone Script_May23.docx
Form and Instruction
Follow Up Question for Online Participants (English)
Att 27_FollowUp Question English_May23.docx
Form and Instruction
Follow Up Question for Online Participants (Spanish)
Att 28_FollowUp Question Spanish_May23.docx
Form and Instruction
Information Collection (IC) Details
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