ICR Documents

Document Date Uploaded
SSA_TBD KAP Surveys 090222 (002).docx 09/30/2022

Document Date Uploaded
SSB_TBD KAP Surveys 090222.docx 09/30/2022

Title Document Document Type Date Uploaded
Authorizing Legislation 1. Section 301 of the Public Health Service Act (42 USC 241).pdf Supplementary Document 07/18/2019
60 Day FRN 2. 60-day FRN.pdf Supplementary Document 07/18/2019
Screening Instrument Sample Att 3 - Screening Instrument.doc Supplementary Document 07/18/2019
Consent Form Sample 4. Consent Form_KAP surveys.doc Supplementary Document 07/18/2019
Introductory Survey Sample Att 5 - Introductory Survey.doc Supplementary Document 07/18/2019
Monthly Survey Sample Att 6 - Monthly Survey.doc Supplementary Document 07/18/2019
Final Survey Sample Att 7 - Final Survey.doc Supplementary Document 07/18/2019
Daily Survey Sample Att 8 - Daily Survey.doc Supplementary Document 07/18/2019
PCO Survey Sample Att 9 - PCO Survey (1).doc Supplementary Document 07/18/2019
PHSA Attachment 1_Section 301 of the Public Health Service Act (42 USC 241).pdf Supplementary Document 09/30/2022
30 Day FRN 30_Day_FRN_TBD_083022.docx Supplementary Document 09/30/2022
60 day FRN Attachment 2_Published 60-Day FRN.pdf Supplementary Document 09/30/2022
Attachment 3_Screening Instrument_KAP Surveys Attachment 3_Screening Instrument_KAP Surveys.docx Supplementary Document 09/30/2022
Attachment 4_Consent Form_KAP surveys Attachment 4_Consent Form_KAP surveys.docx Supplementary Document 09/30/2022
Attachment 5_Introductory Survey_KAP surveys Attachment 5_Introductory Survey_KAP surveys.docx Supplementary Document 09/30/2022
Attachment 6_Monthly Survey_KAP Surveys Attachment 6_Monthly Survey_KAP Surveys.docx Supplementary Document 09/30/2022
Attachment 7_Final Survey_KAP surveys Attachment 7_Final Survey_KAP surveys.docx Supplementary Document 09/30/2022
Attachment 8_Daily Survey_KAP surveys Attachment 8_Daily Survey_KAP surveys.docx Supplementary Document 09/30/2022
Attachment 9_PCO Survey_KAP Surveys Attachment 9_PCO Survey_KAP Surveys.docx Supplementary Document 09/30/2022

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