Skip to main content
An official website of the United States government
The .gov means it's official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you're on a federal government site.
The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.
Search:
Agenda
Reg Review
ICR
ICR Documents
Supporting Statement A
Document
Date Uploaded
Supporting Statement A-final 032212.doc
05/08/2012
Supporting Statement B
Document
Date Uploaded
Supporting Statement B-0322 2012 updated B5.doc
05/08/2012
Supplementary Documents
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
Public Comments
Author Name
Comment Document
Author Affiliation
Sponsoring Org.
Type
Category
Date of Comment
Date Comment Received
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.