ICR Documents

Supporting Statement A Document Date Uploaded Supp Statement A clean 070218 ICRO edited.docx 07/12/2018 Supporting Statement B Document Date Uploaded Supp Statement B 070218.docx 07/12/2018 Supplementary Documents Title Document Document Type Date Uploaded Authorizing Legislation Att A Pub Health Serv Act.doc Supplementary Document 06/11/2015 60 Day FRN Att B 60-Day Notice 062718.pdf Supplementary Document 07/12/2018 Nondisclosure Affidavits Att C Nondisclosure Affidavits 062718.doc Supplementary Document 07/12/2018 Screening Script Att D screening script 062718.doc Supplementary Document 07/12/2018 Informed Consent Att E informed consent 062718.doc Supplementary Document 07/12/2018 Special Consent for Expanded Vid/Aud Att F Spec consent Cog Int 062718.docx Supplementary Document 07/12/2018 Special Consent Focus Groups Att G Spec consent focus group 062718.docx Supplementary Document 07/12/2018 IRB Approval Att H NCHS ERB approval.rtf Supplementary Document 07/12/2018 Sample Recruitment Flyer Att I Sample flyer.doc Supplementary Document 07/12/2018 Sample Newspaper Ad Att J Sample newspaper adv.doc Supplementary Document 07/12/2018 Voice Mail Script Att K Voice mail script.doc Supplementary Document 07/12/2018 Sample Advance Letter Att L Sample advance letter.doc Supplementary Document 07/12/2018 Sample Respondent Data Collection Sheet Att M Sample Resp data collect sheet 070218.doc Supplementary Document 07/12/2018 Cognitive Interview Explanation Att N Explain cog interview 062718.doc Supplementary Document 07/12/2018 Privacy Applicability Review Privacy Act App Review CCQDER 062918.docx Supplementary Document 07/12/2018 PIA qvideo_PIA_signed.pdf Supplementary Document 07/24/2018 Public Comments Author Name Comment Document Author Affiliation Sponsoring Org. Type Category Date of Comment Date Comment Received