ICR Documents

Supporting Statement A Document Date Uploaded SSA_0222_07292021 OMB 27SEP2021.docx 09/27/2021 Supporting Statement B Document Date Uploaded SSB_0222_07282021.docx 08/03/2021 Supplementary Documents Title Document Document Type Date Uploaded Authorizing Legislation: PHSA Att A Public Health Serv Act.docx Supplementary Document 08/03/2021 60-day Federal Register Notice Att B Published 60-Day FRN.pdf Supplementary Document 08/03/2021 Nondisclosure Affadavit Att C Nondisclosure Affidavit.docx Supplementary Document 08/03/2021 Screening Script Att D Screening Script.docx Supplementary Document 08/03/2021 Informed Consent Att E Informed Consent.docx Supplementary Document 08/03/2021 Special Consent (Video and Audio): Individual Interview Att F Spec Consent Cog Int.docx Supplementary Document 08/03/2021 Special Consent (Video and Audio): Discussion Group Att G Spec Consent Focus Group.docx Supplementary Document 08/03/2021 IRB Approval Att H-1&H-2 IRB Approval Documentation.docx Supplementary Document 08/03/2021 Sample Recruitment Flyer Att I Sample flyer.docx Supplementary Document 08/03/2021 Sample Newspaper Advertisement Att J Sample newspaper adv.docx Supplementary Document 08/03/2021 Sample CCQDER Voice Mail Script Att K Voice mail script.docx Supplementary Document 08/03/2021 Sample Advance Letter Att L Sample Advance Letter.docx Supplementary Document 08/03/2021 Sample Respondent Data Collection Sheet Att M Sample Resp Data Collect Sheet.docx Supplementary Document 08/03/2021 Detailed Explanation of Cognitive Interview Procedure Att N Explain Cog Interview.docx Supplementary Document 08/03/2021 Thank You Letter to Respondents Att O Thank You Letter.docx Supplementary Document 08/03/2021 Public Comments Author Name Comment Document Author Affiliation Sponsoring Org. Type Category Date of Comment Date Comment Received Publieee, Jean Att B1 0920-0222 Public Comment.pdf Unknown Unknown Other -- Simple 05/28/2021 06/02/2021