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Agenda
Reg Review
ICR
ICR Documents
Supporting Statement A
Document
Date Uploaded
SSA_TBD KAP Surveys 090222 (002).docx
09/30/2022
Supporting Statement B
Document
Date Uploaded
SSB_TBD KAP Surveys 090222.docx
09/30/2022
Supplementary Documents
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
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.