ICR Documents

Document Date Uploaded
0920-0800 Supporting Statement A-EDIT Thomas (004).docx 02/10/2022

Document Date Uploaded
0920-0800 Supporting Statement B-Edit.docx 02/10/2022

Title Document Document Type Date Uploaded
Public Health Service Act Appendix A1_Public Health Service Act.pdf Supplementary Document 08/14/2018
PHSA Johannas Law Appendix A2_Public Health Service Act_Johannas Law.pdf Supplementary Document 08/14/2018
60 Day FRN Appendix B_60-day Federal Register Notice.pdf Supplementary Document 08/14/2018
Example Questions for Focus Group Screening Appendix C_Example Questions for Focus Group Screening_reinstatement v4.doc Supplementary Document 08/14/2018
Example Consent Form Appendix D_Example Consent Form_2017 reinstatment.doc Supplementary Document 08/14/2018
Example Questions Discussion Guide Appendix E_Example Questions Discussion Guide_reinstatement.doc Supplementary Document 08/14/2018
PIA form 0920-0800 PIA form - Focus group Testing - CAllen edits_3.pdf Supplementary Document 08/14/2018
0920-0800 Attachment A1 Public Health Service Act 0920-0800 Attachment A1 Public Health Service Act.pdf Supplementary Document 02/10/2022
0920-0800 Attachment A2 Johanna's Law 0920-0800 Attachment A2 Johanna's Law.pdf Supplementary Document 02/10/2022
0920-0800 Privacy Narrative 0920-0800 Privacy Narrative.pdf Supplementary Document 02/10/2022
0920-0800 Attachment C1 Screening Form Example 0920-0800 Attachment C1 Screening Form Example.docx Supplementary Document 02/10/2022
0920-0800 Attachment C2 Consent Form Example 0920-0800 Attachment C2 Consent Form Example.docx Supplementary Document 02/10/2022
0920-0800 Attachment A3 EARLY Act 0920-0800 Attachment A3 EARLY Act.pdf Supplementary Document 02/10/2022
0920-0800 Attachment C3 Discussion Gde Example 0920-0800 Attachment C3 Discussion Gde Example.docx Supplementary Document 02/10/2022
0920-0800 Attachment D Health Msgs 0920-0800 Attachment D Health Msgs.docx Supplementary Document 02/10/2022

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