ICR Documents

Document Date Uploaded
CMS-P-0015A (0935-0568) Supporting Statement A - Passback2 8.18.2020_clean.docx 08/19/2020

Document Date Uploaded
CMS-P-0015A (0935-0568) Supporting Statement B_clean.docx 08/19/2020

Title Document Document Type Date Uploaded
Winter Respondent Newslette 2019_Winter Respondent Newsletter- Eng.pdf Supplementary Document 04/16/2019
MCBS Calendar ENG 2019-2020 MCBS Calendar ENG.pdf Supplementary Document 04/16/2019
AtTheDoorEnglish AtTheDoorEnglish.pdf Supplementary Document 04/16/2019
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 R88BrochurePhone.pdf Supplementary Document 06/12/2020
MCBS IAQ Brochure MCBS IAQ Brochure_Eng.pdf Supplementary Document 04/16/2019
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 06/15/2020
Facility Advance Letter R88FacilityPhoneAdvance Letter.docx Supplementary Document 06/12/2020
HIPAA Letter HIPAA Letter.doc Supplementary Document 04/16/2019
MCBS Facility Brochure MCBS Facility Brochure_Eng.pdf Supplementary Document 04/16/2019
Resident Consent Form Resident Consent Form.pdf Supplementary Document 04/16/2019
Next of Kin Consent Form Next of Kin Consent Form.pdf Supplementary Document 04/16/2019
Advance Letter Experiment Report AttachmentCAdvLtrReportFinal.docx Supplementary Document 02/11/2020
Community Advance Letter R88AdvanceLetterPhone.docx Supplementary Document 06/12/2020
Postcard Reminder R88ReminderPostcard.docx Supplementary Document 06/12/2020
Advance Letter No Phone R88AdvanceLetterNoPhone.docx Supplementary Document 06/12/2020
Crosswalk 2021 Full Clearance 30-Day Crosswalk.docx Supplementary Document 06/15/2020
CAPI Screenshots of Introductory Screen and Thank You Screen Attachment7CAPIscreenshots.pdf Supplementary Document 08/19/2020
Summary of New Items Summary of New Items_OMB 2nd Passback_8.19.2020.pdf Supplementary Document 08/19/2020

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