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Agenda
Reg Review
ICR
ICR Documents
Supporting Statement A
Document
Date Uploaded
SSA PPCCPHE Clean.docx
02/14/2017
Supporting Statement B
Document
Date Uploaded
SSB PPCCPHE.docx
09/07/2016
Supplementary Documents
Title
Document
Document Type
Date Uploaded
Authorizing Legislation
Att1 Authorizing Legislation.pdf
Supplementary Document
09/07/2016
60 day FRN
Att2 60-day FRN PCCPHE.pdf
Supplementary Document
09/07/2016
Map of US Poison Centers
Att3 Map of US Poison Centers.pdf
Supplementary Document
09/07/2016
AAPCC License Agreement
Att4 CDC-AAPCC DataLicAgremt 2016_signed.pdf
Supplementary Document
09/07/2016
Instructions for How to Use the Generic Clearance
Att5 Step-by-StepHowtoUsetheGenericClrnce PCCPHE.docx
Supplementary Document
09/07/2016
Sample Notification Email
Att6 Advncd Ntifictn Emil for OMB PCCPHE.docx
Supplementary Document
09/07/2016
GenIC Request for Approval
Att7 GenIC Rqst Apprvl Form PCCPHE.docx
Supplementary Document
09/07/2016
Sample Consent and Assent
Att8 Sample Consent and Assent Forms PCCPHE.docx
Supplementary Document
09/07/2016
Sample Adult Questionnaire
Att9 Sample Questionnaire Adult PCCPHE.docx
Supplementary Document
09/07/2016
Sample Adolescent Questionnaire
Att10 Sample Questionnaire Adolescent PCCPHE.docx
Supplementary Document
09/07/2016
Sample Parent Questionnaire
Att11 Sample Questionnaire Parent PCCPHE.docx
Supplementary Document
09/07/2016
Burden Memo Template
Att12 Burden Memo PCCPHE.docx
Supplementary Document
09/07/2016
Non-research Determination
Att13 NCEH-ATSDR RDF PCCPHE.pdf
Supplementary Document
09/07/2016
Sample Datasheet
Att14 Smpl Dtst for Qstnnr PCCPHE.xlsx
Supplementary Document
09/07/2016
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.