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Agenda
Reg Review
ICR
ICR Documents
Supporting Statement A
Document
Date Uploaded
HPOG 1 Impact 72 Mo Follow-up OMB Part A -06092017.docx
06/14/2017
Supporting Statement B
Document
Date Uploaded
HPOG 1 Impact 72 Mo Follow-up OMB Part B 06062017.docx
06/14/2017
Supplementary Documents
Title
Document
Document Type
Date Uploaded
Appendix A HPOG Logic Model
HPOG Followup OMB Appendix A HPOG Logic Model.docx
Supplementary Document
06/14/2017
Appendix C 72 Month Followup Survey Sources
HPOG Followup OMB Appendix C 72 Month Followup Survey Sources 042017.docx
Supplementary Document
06/14/2017
Appendix E_Previously Approved_Contact Update Form
HPOG Followup OMB Appendix E_Previously Approved_Contact Update Form.docx
Supplementary Document
06/14/2017
Appendix F1_Previously Approved_Contact Update Letter
HPOG Followup OMB Appendix F1_Previously Approved_Contact Update Letter.docx
Supplementary Document
06/14/2017
Appendix F2_72 Month_Contact Update Letter
HPOG Followup OMB Appendix F2_72 Month_Contact Update Letter_052017.docx
Supplementary Document
06/14/2017
Appendix G Previously Approved Consent Forms for Participant Surveys
HPOG Followup OMB Appendix G Previously Approved Consent Forms for Participant Surveys.pdf
Supplementary Document
06/14/2017
Appendix H_Participant Newsletter
HPOG Followup OMB Appendix H_Participant Newsletter_052017.docx
Supplementary Document
06/14/2017
Appendix I_ 72_month_Survey Flyer
HPOG Followup OMB Appendix I_ 72_month_Survey Flyer_052017.docx
Supplementary Document
06/14/2017
Appendix J_ 72_month_Email Reminder - Revised
Attchment J_New Revised HPOG -Impact_ 72_month_Alternate Email_letter Reminder_06172020.docx
Supplementary Document
07/23/2020
Appendix K1 Previously Approved 36-month Survey Advance Letter
HPOG Followup OMB Appendix K1 Previously Approved 36-month Survey Advance Letter.docx
Supplementary Document
06/14/2017
Appendix K2 72-month Survey Advance Letter
HPOG Followup OMB Appendix K2 72-month Survey Advance Letter_052017.docx
Supplementary Document
06/14/2017
Appendix M_Contact Update Call Script
HPOG Followup OMB Appendix M_Contact Update Call Script_052417.docx
Supplementary Document
06/14/2017
Memo - Nonsub Change: Wording based on Pretesting
Memo to OMB Pretest Changes to HPOG1-Impact 72-month survey instrument_02-26-18.docx
Justification for No Material/Nonsubstantive Change
02/26/2018
Memo - Nonsub Change: Revised 72 month Survey (Appendix J)
OMB#0970-0394_Non-substantive Change Request_COVID-19_072220.docx
Justification for No Material/Nonsubstantive Change
07/23/2020
Public Comments
Author Name
Comment Document
Author Affiliation
Sponsoring Org.
Type
Category
Date of Comment
Date Comment Received
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.