ICR Documents

Document Date Uploaded
Supporting Statement A-final 032212.doc 05/08/2012

Document Date Uploaded
Supporting Statement B-0322 2012 updated B5.doc 05/08/2012

Title Document Document Type Date Uploaded
QDRL-OMB Attachment A Pub Health Serv Act QDRL-OMB Attachment A Pub Health Serv Act.docx Supplementary Document 05/08/2012
QDRL-OMB Attachment B1 Federal Register Notice QDRL-OMB Attachment B1 Federal Register Notice.pdf Supplementary Document 05/08/2012
QDRL-OMB Attachment B2 Comments received on 60-day notice QDRL-OMB Attachment B2 Comments received on 60-day notice.docx Supplementary Document 05/08/2012
QDRL-OMB Attachment C Advance letter QDRL-OMB Attachment C Advance letter.doc Supplementary Document 05/08/2012
QDRL-OMB Attachment D informed consent QDRL-OMB Attachment D informed consent.doc Supplementary Document 05/08/2012
QDRL-OMB Attachment E Resp Data Collect Sheet QDRL-OMB Attachment E Resp Data Collect Sheet.doc Supplementary Document 05/08/2012
QDRL-OMB Attachment F Cash Payment Receipt QDRL-OMB Attachment F Cash Payment Receipt.doc Supplementary Document 05/08/2012
QDRL-OMB Attachment G Spec Consent QDRL-OMB Attachment G Spec Consent.docx Supplementary Document 05/08/2012
QDRL-OMB Attachment H Spec Consent for FG QDRL-OMB Attachment H Spec Consent for FG.docx Supplementary Document 05/08/2012
QDRL-OMB Attachment I send Off site research QDRL-OMB Attachment I send Off site research.doc Supplementary Document 05/08/2012
QDRL-OMB Attachment J ERB approval QDRL-OMB Attachment J ERB approval.doc Supplementary Document 05/08/2012
QDRL-OMB Attachment K phone screeners QDRL-OMB Attachment K phone screeners.docx Supplementary Document 05/08/2012
QDRL-OMB Attachment L Sample flyer QDRL-OMB Attachment L Sample flyer.doc Supplementary Document 05/08/2012
QDRL-OMB Attachment M Newspaper Adv QDRL-OMB Attachment M Newspaper Adv.doc Supplementary Document 05/08/2012
QDRL-OMB Attachment N Answer Mach Script QDRL-OMB Attachment N Answer Mach Script.doc Supplementary Document 05/08/2012
QDRL-OMB Attachment O Explain Cog Interview QDRL-OMB Attachment O Explain Cog Interview.doc Supplementary Document 05/08/2012
QDRL-OMB Attachment P ACASI Questions QDRL-OMB Attachment P ACASI Questions.doc Supplementary Document 05/08/2012

Author Name Comment Document Author Affiliation Sponsoring Org. Type Category Date of Comment Date Comment Received