ICR Documents

Document Date Uploaded
SSA PPCCPHE Clean.docx 02/14/2017

Document Date Uploaded
SSB PPCCPHE.docx 09/07/2016

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

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