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Agenda
Reg Review
ICR
ICR Documents
Supporting Statement A
Document
Date Uploaded
Supporting Statement A_5.17.23.docx
05/23/2023
Supporting Statement B
Document
Date Uploaded
Supporting Statement B.docx
05/23/2023
Supplementary Documents
Title
Document
Document Type
Date Uploaded
Human Subjects Determination
PD 6184 Continuation 0920-0920_Approved.pdf
Supplementary Document
10/30/2018
Authorizing Legislation: PHSA
Att 1_Public Health Service Act 301 and 308.docx
Supplementary Document
05/23/2023
60-day Federal Register Notice
Att 2_60 day FRN_0920-0920.pdf
Supplementary Document
05/23/2023
Summary of Public Comments on the 60-day FRN
Att 2a_Public Comments.docx
Supplementary Document
05/23/2023
Sample Survey Items
Att 3_Sample Survey Items.docx
Supplementary Document
05/23/2023
Sample Participant Consent Form
Att 4_Sample Participant Consent Form.docx
Supplementary Document
05/23/2023
Sample Email Invitation and Reminder
Att 5_Sample Email Invitation and Reminder.docx
Supplementary Document
05/23/2023
Sample Participant Screener
Att 6_Sample Study Screener.docx
Supplementary Document
05/23/2023
Justification for Sensitive Questions
Att 7_Sensitive Questions.docx
Supplementary Document
05/23/2023
Privacy Impact Assessment
Att 8_PIA - No PII_2023.pdf
Supplementary Document
05/23/2023
Public Comments
Author Name
Comment Document
Author Affiliation
Sponsoring Org.
Type
Category
Date of Comment
Date Comment Received
Anonymous, Anonymous
Comment_1.pdf
Not provided
Not provided
Other -- Web
Simple
04/16/2023
04/17/2023
Anonymous, Anonymous
Comment_2.pdf
Not provided
Not provided
Other -- Web
Simple
04/15/2023
04/17/2023
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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