ICR Documents

Supporting Statement A Document Date Uploaded HPOG 2.0_Supporting Statement A_Revised_04152020_Temporary Approval of Verbal Consent.docx 04/16/2020 Supporting Statement B Document Date Uploaded HPOG 2.0_Supporting Statement B_Revised_04152020_Temporary Approval of Verbal Consent.docx 04/16/2020 Supplementary Documents Title Document Document Type Date Uploaded Attachment B. Informed Consent Forms Attachment B. Informed Consent Forms_01.25.16 clean.docx Supplementary Document 01/26/2016 Attachment C. 60 Day Notice Attachment C_HPOG 2.0 15 mos follow up - 60 Day FRN_8.30.17.pdf Supplementary Document 02/01/2018 Attachment D. Sources and Justification Attachment D. Sources and Justification_5.4.15.docx Supplementary Document 05/06/2015 Attachment E. PPR Data List and Mockup FINAL updated Attachment E PPR Data List and Mockup 8 4 15 clean.docx Supplementary Document 08/05/2015 Attachment F. First Round of HPOG Grantees Ressearch Portfolio Attachment F. First Round of HPOG Grantees Ressearch Portfolio_4.28.15.docx Supplementary Document 05/06/2015 Attachment G. Contact Update Letter and Form Attachment G. Contact Update Letter and Form.docx Supplementary Document 05/11/2015 Attachment A. References - Updated Oct 2016 Attachment A_References_Revised 09 02 16.docx Supplementary Document 10/24/2016 Attachment B_Approved non-tribal, adult lottery not required consent form Attachment B_Approved non-tribal, adult lottery not required consent form.docx Supplementary Document 06/16/2016 Attachment B2_Tribal Evaluation Informed Consent Form A (SSNs) Attachment B2_Tribal Evaluation Informed Consent Form A (SSNs).docx Supplementary Document 06/16/2016 Attachment B3_Tribal Evaluation Informed Consent Form B (Unique Identifiers) Attachment B3_Tribal Evaluation Informed Consent Form B (Unique Identifiers).docx Supplementary Document 06/16/2016 Attachment H_HPOG- Model Attachment H_HPOG- Model.pptx Supplementary Document 10/24/2016 Attachment I_Focus Group Informed Consent Form Attachment I_Focus Group Informed Consent Form.doc Supplementary Document 10/24/2016 Attachment J Interview Verbal Informed Consent Form Attachment J_Interview Verbal Informed Consent Form.docx Supplementary Document 10/24/2016 Attachment K_Incentive Communications_Email and Letter Attachment K_HPOG 2 0 Incentive Communications_Email and Letter_071117 CLEAN.docx Supplementary Document 07/12/2017 Attachment K2 - Survey Advance Letter Attachment K_HPOG2.0_Short-Term Followup Survey Advance Letter_Rev_01092018_Clean.docx Supplementary Document 02/01/2018 Attachment L: Short-Term Follow-up Survey Sources Attachment L_HPOG 2.0 Short-Term Followup Followup Survey Sources_Rev_121217_Clean.docx Supplementary Document 02/01/2018 Attachment M: Short-Term Follow-up Survey Trying to Reach You Flyer Attachment M_HPOG 2.0_Short-Term Survey Flyer 01092018.docx Supplementary Document 02/01/2018 Attachment N: Short-Term Follow-up Survey Email Reminder Attachment N_HPOG2.0_Short-Term Followup Short-Term Survey_ Email Remind_revised_010918_clean.docx Supplementary Document 02/01/2018 Attachment O: Research Questions for Previously Approved Data Collection Efforts (National Evaluation and Tribal Evaluation) Attachment O_ResearchQuestions for Previously Approved National and Tribal Evaluation Efforts.docx Supplementary Document 02/01/2018 Attachment P: Intermediate Follow-up Survey Advance Letter Attachment P_HPOG 2.0_Intermediate Follow-up Survey Advance Letter.docx Supplementary Document 04/18/2019 Attachment Q: Intermeditate Follow-up Survey Sources Attachment Q_HPOG 2.0 Intermeditate Follow-up Survey Sources.docx Supplementary Document 04/18/2019 Attachment R: Intermediate Follow-up Survey - Flyer Attachment R_HPOG 2.0_Intermediate Follow-upSurvey_Flyer.docx Supplementary Document 04/18/2019 Attachment S: Intermediate Follow-up Email Reminder Attachment S_HPOG 2.0_Intermediate Follow-up Email Reminder.docx Supplementary Document 04/18/2019 Attachment T: Phone based Skills Assessment Pilot - Recruitment Flyer Attachment T_HPOG 2.0_phone based Skills Assessment Pilot_Recruitment Flyer.docx Supplementary Document 04/18/2019 Attachment U: Phone based Skills Assessment Pilot - Grantee Letter Attachment U_HPOG 2.0_phone based Skills Assessment Pilot_Grantee Letter.docx Supplementary Document 04/18/2019 Attachment V: Phone based Skills Assessment Pilot - ParticipantLetter Attachment V_HPOG 2.0_phone based Skills Assessment Pilot_ParticipantLetter.docx Supplementary Document 04/18/2019 Attachment W: Phone based Skills Assessment Pilot - Recruitment Script Attachment W_HPOG 2.0_phone based Skills Assessment Pilot_Recruitment Script.docx Supplementary Document 04/18/2019 Attachment X: Complete List of Previously Approved Instruments for HPOG 2.0 Attachment X_Complete List of Previously Approved Instruments for HPOG 2.0.docx Supplementary Document 04/18/2019 Attachment Y: 60-Day FRN For April 2019 Submission Attachment Y 60-Day Federal Register Notice.pdf Supplementary Document 04/18/2019 Attachment Z: Participant Interview Recruitment Materials Attachment Z_ Participant Interview Recruitment Materials.docx Supplementary Document 04/18/2019 Attachment B. National Evaluation Informed Consent Form C Lottery Required - Verbal Attachment B. National Evaluation Informed Consent Form C Lottery Required _Verbal.docx Supplementary Document 04/16/2020 Attachment B_National Evaluation informed consent Form D_ lottery not required - Verbal Attachment B_National Evaluation informed consent Form D_ lottery not required-Verbal.docx Supplementary Document 04/16/2020 Attachment B2_Tribal Evaluation_informed consent Form C (SSNs) - Verbal Attachment B2_Tribal Evaluation_informed consent Form C (SSNs)_VERBAL.DOCX Supplementary Document 04/16/2020 Attachment B3_Tribal Evaluation informed consent Form D (Unique Identifiers) - Verbal Attachment B3_Tribal Evaluation informed consent Form D (Unique Identifiers_Verbal.docx Supplementary Document 04/16/2020 NonSub Change Request - Temporary Use of Verbal Consents OMB#0970-0462_NonSub Change Request_Temporary Use of Verbal Consent Forms_04152020.docx Justification for No Material/Nonsubstantive Change 04/16/2020 Public Comments Author Name Comment Document Author Affiliation Sponsoring Org. Type Category Date of Comment Date Comment Received