PRA ICR Documents
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Agenda
Reg Review
ICR
ICR Documents
Supporting Statement A
Document
Date Uploaded
Supp Statement A_TBD KAP Surveys 041619.docx
07/18/2019
Supporting Statement B
Document
Date Uploaded
Supporting Statement B_TBD KAP Surveys041619.docx
07/18/2019
Supplementary Documents
Title
Document
Document Type
Date Uploaded
Authorizing Legislation
1. Section 301 of the Public Health Service Act (42 USC 241).pdf
Supplementary Document
07/18/2019
60 Day FRN
2. 60-day FRN.pdf
Supplementary Document
07/18/2019
Screening Instrument Sample
Att 3 - Screening Instrument.doc
Supplementary Document
07/18/2019
Consent Form Sample
4. Consent Form_KAP surveys.doc
Supplementary Document
07/18/2019
Introductory Survey Sample
Att 5 - Introductory Survey.doc
Supplementary Document
07/18/2019
Monthly Survey Sample
Att 6 - Monthly Survey.doc
Supplementary Document
07/18/2019
Final Survey Sample
Att 7 - Final Survey.doc
Supplementary Document
07/18/2019
Daily Survey Sample
Att 8 - Daily Survey.doc
Supplementary Document
07/18/2019
PCO Survey Sample
Att 9 - PCO Survey (1).doc
Supplementary Document
07/18/2019
Public Comments
Author Name
Comment Document
Author Affiliation
Sponsoring Org.
Type
Category
Date of Comment
Date Comment Received
Anonymous
2a. Public comment.pdf
Email
Simple
06/27/2019
06/27/2019
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.