PRA ICR Documents
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Agenda
Reg Review
ICR
ICR Documents
Supporting Statement A
Document
Date Uploaded
SSA_08Oct20_clean.docx
10/15/2020
Supporting Statement B
Document
Date Uploaded
SSB_08Oct20_clean.docx
10/15/2020
Supplementary Documents
Title
Document
Document Type
Date Uploaded
Authorizing Legislation
Att 1_Auth Legislation.docx
Supplementary Document
09/07/2018
Federal Register Notice
Att 2_60-Day FRN.pdf
Supplementary Document
09/07/2018
Recruitment Materials
Att 3_Recruitment Materials.doc
Supplementary Document
09/07/2018
Consent to Intervention
Appendix D_Adult-consent-COVID_ v10-05-20_clean.docx
Supplementary Document
10/15/2020
Consent to Interview
Att 5b_Consent to Interview.pdf
Supplementary Document
09/07/2018
Approval Letter - Lurie Children's Hospital of Chicago Institutional Review Board
2017-767_Mod Approval Letter.pdf
Supplementary Document
10/15/2020
Agreement to Rely on the Lurie IRB - Chicago House and Social Service Agency
2017-767_Initial IRB approval.pdf
Supplementary Document
10/15/2020
Determination from U Illinois Chicago - UIC is not engaged in HSR
Att 6c_UIC IRB Determination.pdf
Supplementary Document
09/07/2018
Data Use Plan
TG Data Use Plan3Apr2017.docx
Supplementary Document
10/15/2020
Privacy Impact Assessment
Att 8 PIA 18CI Final.pdf
Supplementary Document
09/07/2018
Certificate of Confidentiality
Att 9_Certificate of Confidentiality.pdf
Supplementary Document
09/07/2018
Research Protocol
CDC-Research-Protocol_Form Approved09-21-20_clean.docx
Supplementary Document
10/15/2020
Summary of Proposed Changes
Summary of Proposed Changes in the ICR for TLC 0920-1246.docx
Justification for No Material/Nonsubstantive Change
10/15/2020
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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