ICR Documents

Supporting Statement A Document Date Uploaded NHAMCS SSA 09.03.2020.docx 09/04/2020 Supporting Statement B Document Date Uploaded NHAMCS SSB_03.24.2020.docx 04/08/2020 Supplementary Documents Title Document Document Type Date Uploaded Authorizing legislation Attachment A - Applicable Laws and Regulations.pdf Supplementary Document 04/08/2020 60 day FRN Attachment B - 0920-0278 60-Day FRN (2020-01383).pdf Supplementary Document 04/08/2020 ED PRF sample card 2020 Attachment D1 - ED PRF sample card (2020).pdf Supplementary Document 04/08/2020 ED PRF sample card 2021 Attachment D2 - ED PRF sample card (2021).pdf Supplementary Document 04/08/2020 List of publications Attachment E - List of Publications.docx Supplementary Document 04/08/2020 List of consultants Attachment F - List of Consultants.docx Supplementary Document 04/08/2020 IRB approval letter Attachment G1 - IRB Approval letter.pdf Supplementary Document 04/08/2020 Informed consent waiver Attachment G2 - Waiver of Informed Consent.docx Supplementary Document 04/08/2020 Endorsement letters Attachment I - Endorsement letters.docx Supplementary Document 04/08/2020 Informed consent flowsheet Attachment J - Informed Consent flowsheet.docx Supplementary Document 04/08/2020 Introductory letter 2020 Attachment H1 - 2020 introductory letter.pdf Supplementary Document 04/17/2020 Introductory letter 2021 - revised 28AUG2020 Attachment H2 - 2021 introductory letter 08.20.2020.pdf Supplementary Document 08/28/2020 Summary Table of the Questionnaire Changes Summary Table of the Questionnaire Changes.docx Supplementary Document 01/26/2022 Attachment C - 2022 ED Patient Record Form (PRF) Changes Attachment C - 2022 ED Patient Record Form (PRF) Changes.docx Supplementary Document 01/26/2022 Attachment B - 2022 NHAMCS Ambulatory Unit Induction Changes Attachment B - 2022 NHAMCS Ambulatory Unit Induction Changes.docx Supplementary Document 01/26/2022 Attachment A - 2022 NHAMCS Hospital Induction Changes Attachment A - 2022 NHAMCS Hospital Induction Changes.docx Supplementary Document 01/26/2022 2022 NHAMCS OMB Non-substantive 2022 NHAMCS OMB Non-substantive Final 01052022v2.docx Justification for No Material/Nonsubstantive Change 01/26/2022 Public Comments Author Name Comment Document Author Affiliation Sponsoring Org. Type Category Date of Comment Date Comment Received