PRA ICR Documents
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Agenda
Reg Review
ICR
ICR Documents
Supporting Statement A
Document
Date Uploaded
Supporting Statement A_final.docx
11/05/2021
Supporting Statement B
Document
Date Uploaded
Supporting Statement B.docx
11/05/2021
Supplementary Documents
Title
Document
Document Type
Date Uploaded
60 Day FRN
Att 2 60 Day FRN Published 9-7-2021.pdf
Supplementary Document
11/05/2021
Sample Survey Questions
Att 3_Sample Survey Items.docx
Supplementary Document
11/05/2021
Sample Consent Forms
Att 4_Sample Participant Consent Form.docx
Supplementary Document
11/05/2021
Sample Email Reminder
Att 5_Sample Email Invitation and Reminder.docx
Supplementary Document
11/05/2021
Sample Screener
Att 6_Sample Study Screener.docx
Supplementary Document
11/05/2021
Sensitive Questions
Att 7_Sensitive Questions.docx
Supplementary Document
11/05/2021
PIA
Att 8 PIA - No PII.pdf
Supplementary Document
11/05/2021
Authorizing Legislation
Att1_Public Health Service Act 301 and 308.docx
Supplementary Document
10/30/2018
Human Subjects Determination
PD 6184 Continuation 0920-0920_Approved.pdf
Supplementary Document
10/30/2018
Public Comments
Author Name
Comment Document
Author Affiliation
Sponsoring Org.
Type
Category
Date of Comment
Date Comment Received
Publiee, Jean
Att 2a_Public Comments.docx
Other -- web
Simple
09/12/2021
09/13/2021
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.