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 Quarterly memo 2020Q1 2019 Poison Center Burden Memo HABs.docx Supplementary Document 01/23/2020 2020Q1 -Adult questionnaire Att2 HABs GenIC Questionnaire - Adult.docx Supplementary Document 01/23/2020 2020Q1 - Adolescent questionnaire Att3 HABs GenIC Questionnaire - Adolescent.docx Supplementary Document 01/23/2020 2020Q1 - Parent questionnaire Att4 HABs GenIC Questionnaire - Parent-Child.docx Supplementary Document 01/23/2020 2020Q1 - Consents HABs Consent and Assent Forms.docx Supplementary Document 01/23/2020 Justification - Quarterly burden 2020Q1 0920-1166 Change Request Justification FY2020 Q1.docx Justification for No Material/Nonsubstantive Change 01/23/2020 Public Comments Author Name Comment Document Author Affiliation Sponsoring Org. Type Category Date of Comment Date Comment Received