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Agenda
Reg Review
ICR
ICR Documents
Supporting Statement A
Document
Date Uploaded
SSA COVID epi forms - NO CF_Clean.docx
04/29/2020
Supporting Statement B
Document
Date Uploaded
SSB COVID epi forms - NO CF_Clean.docx
04/29/2020
Supplementary Documents
Title
Document
Document Type
Date Uploaded
Authorizing Legislation
1. Section 301 of the Public Health Service Act (42 USC 241).pdf
Supplementary Document
04/30/2020
60d FRN - published
2. 60-day FRN.pdf
Supplementary Document
04/30/2020
Risk Factor - Chart Abstraction - CDC
13. Risk Factor_ChartAbstraction0408_Instrument_OMB.docx
Supplementary Document
04/30/2020
Consent - Parent
17. Consent_PARENT_27Apr2020_v1.4_CLEAN.docx
Supplementary Document
04/30/2020
Consent - Household Member
18. Consent_HH MEMBER_27Apr2020_v1.4_CLEAN.docx
Supplementary Document
04/30/2020
Consent - Case
19. Consent_CASE_27Apr2020_v1.4_CLEAN.docx
Supplementary Document
04/30/2020
Assent - Child
20.Assent_CHILD_27Apr2020_v1.4_CLEAN.docx
Supplementary Document
04/30/2020
Verbal Consent - Homeless Shelter Project
23. Homeless project verbal consent.docx
Supplementary Document
04/30/2020
Research Determination - Epidemiologic / Contact Investigation
22A. Non-research determination.pdf
Supplementary Document
04/30/2020
Research Determination - Homeless Shelter Screening
22B. NRD_Homeless Shelter Screening.pdf
Supplementary Document
04/30/2020
Research Determination - Pregnancy Module
22C. NRD_COVID-19 Pregnancy Module.pdf
Supplementary Document
04/30/2020
Change Request Memo
Change Request Memo 23SEP2020.docx
Justification for No Material/Nonsubstantive Change
09/24/2020
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.
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