PRA ICR Documents
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Agenda
Reg Review
ICR
ICR Documents
Supporting Statement A
Document
Date Uploaded
1265 SSA.docx
01/25/2023
Supporting Statement B
Document
Date Uploaded
1265 SSB.docx
09/07/2022
Supplementary Documents
Title
Document
Document Type
Date Uploaded
Authorizing Legislation
Att. 1 Authorizing Legislation Section 301(a) of the Public Health Service Act [42.U.S.C. 242K].pdf
Supplementary Document
01/31/2019
60 day FRN
Att. 2 60 Day Federal Register Notice.pdf
Supplementary Document
01/31/2019
Data Flow Process
Att. 3_Data Collection and Data Flow Process.docx
Supplementary Document
01/31/2019
Consent
Att. 5 CDSMP Evaluation Consent Form.docx
Supplementary Document
01/31/2019
Consultation
Att. 6 Participants in Consultation Outside the Agency.docx
Supplementary Document
01/31/2019
Non-research determination
Att. 7_Institutional Review Board Approval Notification or exemption determination.pdf
Supplementary Document
01/31/2019
PIA
Att. 8 Privacy Impact Assesment.pdf
Supplementary Document
01/31/2019
Auth. Legislation
1265 Att 1 Authorizing Legislation.pdf
Supplementary Document
09/07/2022
1265 Att 3 Data Coll & Data Flow Process
1265 Att 3 Data Coll & Data Flow Process.docx
Supplementary Document
09/07/2022
CDSMP Evaluation Consent Form
1265 Att 5 CDSMP Evaluation Consent Form.docx
Supplementary Document
09/07/2022
Participants in Consultation Outside the Agency
1265 Att 6 Participants in Consultation Outside the Agency.docx
Supplementary Document
09/07/2022
IRB Approval
1265 Att 7 IRB Approval.pdf
Supplementary Document
09/07/2022
Privacy Impact Assesment
1265 Att 8 Privacy Impact Assesment.pdf
Supplementary Document
09/07/2022
Privacy Notice
1265 PN.pdf
Supplementary Document
09/07/2022
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.