PRA ICR Documents
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Agenda
Reg Review
ICR
ICR Documents
Supporting Statement A
Document
Date Uploaded
Supporting Statement A_10-29-18_clean ICRO.docx
10/30/2018
Supporting Statement B
Document
Date Uploaded
Supporting Statement B_10-29-18_clean ICRO.docx
10/30/2018
Supplementary Documents
Title
Document
Document Type
Date Uploaded
60 Day FRN
Att 2_60-Day FRN Published.pdf
Supplementary Document
10/30/2018
Sample Survey Questions
Att 3_Sample Survey Items.docx
Supplementary Document
10/30/2018
Sample Consent Forms
Att 4_Sample Participant Consent Form_10-29-18_clean.docx
Supplementary Document
10/30/2018
Sample Email Reminder
Att 5_Sample Email Invitation and Reminder.docx
Supplementary Document
10/30/2018
Sample Screener
Att 6_Sample Study Screener.docx
Supplementary Document
10/30/2018
Sensitive Questions
Att 7_Sensitive Questions_5-4-18.docx
Supplementary Document
10/30/2018
Privacy Act Checklist
Privacy Act Checklist_10-29-18_clean.doc
Supplementary Document
10/30/2018
Authorizing Legislation
Att1_Public Health Service Act 301 and 308.docx
Supplementary Document
10/30/2018
Human Subjects Determination
PD 6184 Continuation 0920-0920_Approved.pdf
Supplementary Document
10/30/2018
Public Comments
Author Name
Comment Document
Author Affiliation
Sponsoring Org.
Type
Category
Date of Comment
Date Comment Received
Public, Jean
Att 2a_Public Comment.docx
Email
Simple
06/06/2018
06/06/2018
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.