ICR Documents

Supporting Statement A Document Date Uploaded Supporting Statement A.docx 05/01/2013 Supporting Statement B Document Date Uploaded Supporting Statement B.docx 09/16/2013 Supplementary Documents Title Document Document Type Date Uploaded Recruitment Script_At Clinic Recruitment Script_At Clinic.docx Supplementary Document 05/09/2013 Flyer Flyer.doc Supplementary Document 05/09/2013 Handout_English Handout_English.doc Supplementary Document 05/09/2013 2014 Health Center Patient Survey Cognitive Protocol Intro 2014 Health Center Patient Survey Cognitive Protocol Intro.doc Supplementary Document 05/09/2013 Consent forms (3) Consent forms (3).doc Supplementary Document 05/09/2013 Incentive Receipt Incentive Receipt.doc Supplementary Document 05/09/2013 OMB_Korean_materials OMB_Korean_materials.pdf Supplementary Document 04/30/2013 OMB_Chinese_Materials OMB_Chinese_Materials.pdf Supplementary Document 04/30/2013 OMB_Spanish_materials OMB_Spanish_materials.pdf Supplementary Document 04/30/2013 OMB_Vietnamese_materials OMB_Vietnamese_materials.pdf Supplementary Document 04/30/2013 Appendix A - 2006 USC Title 42 Section 254b Appendix A - 2006 USC Title 42 Section 254b.pdf Supplementary Document 04/30/2013 Appendix C Technical Advisory Committee Members Appendix C Technical Advisory Committee Members.docx Supplementary Document 04/30/2013 Appendix B 60Day Federal Notice Appendix B 60Day Federal Notice.pdf Supplementary Document 04/30/2013 Appendix D Data Security Plan Appendix D Data Security Plan.docx Supplementary Document 04/30/2013 Appendix E Critical Incident Form Appendix E Critical Incident Form.docx Supplementary Document 04/30/2013 Public Comments Author Name Comment Document Author Affiliation Sponsoring Org. Type Category Date of Comment Date Comment Received