ICR Documents

Document Date Uploaded
CMS-P-0015A (0935-0568) Supporting Statement A.docx 04/20/2020

Document Date Uploaded
CMS-P-0015A (0935-0568) Supporting Statement B.docx 04/20/2020

Title Document Document Type Date Uploaded
MCBS Respondent News letter MCBS Newsletter English.pdf Supplementary Document 04/20/2020
MCBS Calendar ENG MCBS Calendar English.pdf Supplementary Document 04/20/2020
AtTheDoorEnglish At the Door Sheet English.pdf Supplementary Document 04/20/2020
Community Advance Letter AttachmentBControlLetter508c.pdf Supplementary Document 02/11/2020
Community Authority Letter Community Authority Letter.doc.docx Supplementary Document 02/11/2020
MCBS Community Brochure MCBS Community Brochure_Eng.pdf Supplementary Document 04/16/2019
MCBS IAQ Brochure IAQ Brochure English.pdf Supplementary Document 04/20/2020
Refusal Letter Refusal Letter_Com_Continuing Rs_Eng_FM800.doc Supplementary Document 04/16/2019
Thank You Letter Thank You Letter English.docx Supplementary Document 04/20/2020
Facility Advance Letter Facility Advance Letter.doc Supplementary Document 04/16/2019
HIPAA Letter HIPAA Letter.doc.docx Supplementary Document 04/20/2020
MCBS Facility Brochure Facility Brochure.pdf Supplementary Document 04/20/2020
Resident Consent Form Resident Consent Form.pdf Supplementary Document 04/20/2020
Next of Kin Consent Form Next of Kin Consent Form.pdf Supplementary Document 04/20/2020
Advance Letter Experiment Report AttachmentCAdvLtrReportFinal.docx Supplementary Document 02/11/2020
Non Response Letter Non-response Letter English.docx Supplementary Document 04/20/2020
CAPI Screenshot Attachment 7 CAPI screenshots.docx Supplementary Document 04/20/2020
Crosswalk 2021 Full Clearance 30-Day Crosswalk.docx Supplementary Document 04/22/2020

Author Name Comment Document Author Affiliation Sponsoring Org. Type Category Date of Comment Date Comment Received