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Project Type □ Surveillance □ Research □ Evaluation □ Administration □ Other – Describe: Type of data: □ Survey □ Record Review □ Observation □ Focus Group □ Other -- Describe: Is data one-time data collection or ongoing □ One time □ Baseline and Follow-up (Specify expected number of follow-up collections: __________) □ Ongoing surveillance Current project Status □ Planning, collection not started □ Collection ongoing □ Collection Complete – data cleaning □ Collection Complete – data available □ If data not yet available, Expected Data Release Date: Temporal Metadata Start Date of data collection: End Date of data collection: (if ongoing indicate NA) If Ongoing: Are there scheduled releases □ Yes □ No If Yes, anticipated date of next release: Spatial Metadata: as applicable include Country: Region: State: County: City:
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