ICR Documents

Document Date Uploaded
OMB Supporting Statement A final.docx 01/26/2021

Document Date Uploaded
OMB Supporting Statement B.docx 01/26/2021

Title Document Document Type Date Uploaded
Authorizing Legislation Attachment 1_Public Health Service Act [42 U.S.C. 241].pdf Supplementary Document 01/26/2021
60 Day FRN Attachment 2a - 60-Day Federal Register Notice.pdf Supplementary Document 01/26/2021
Prenotification Letter Attachment 4_Prenotification letter.docx Supplementary Document 01/26/2021
Survey Invitation Letter Attachment 5a_Survey invitation letter.docx Supplementary Document 01/26/2021
FAQs Attachment 5b - Frequently asked questions.docx Supplementary Document 01/26/2021
Email Invitation Attachment 6a_Email invitation.docx Supplementary Document 01/26/2021
Reminder Email Template Attachment 6b_Reminder email template.docx Supplementary Document 01/26/2021
SAQ Cover Letter Attachment 6c_SAQ cover letter.docx Supplementary Document 01/26/2021
Last Chance Email Attachment 6d_Last chance email.docx Supplementary Document 01/26/2021
Telephone Contacting Scripts Attachment 7 - Telephone contacting scripts.docx Supplementary Document 01/26/2021
Privacy Narrative Attachment 10_Privacy Narrative.pdf Supplementary Document 01/26/2021
Human Subjects Determination Attachment 11_ Human subjects document non-research determination.pdf Supplementary Document 01/26/2021
PIA Attachment 12 -Privacy impact assessment form.pdf Supplementary Document 01/26/2021

Author Name Comment Document Author Affiliation Sponsoring Org. Type Category Date of Comment Date Comment Received
Anonymous
Attachment 2b - Response to public comments from 60-Day Federal Register Notice.docx
Other -- multiple Multiple 06/01/2020 06/01/2020