ICR Documents

Document Date Uploaded
HPOG 1 Impact 72 Mo Follow-up OMB Part A -06092017.docx 06/14/2017

Document Date Uploaded
HPOG 1 Impact 72 Mo Follow-up OMB Part B 06062017.docx 06/14/2017

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

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