ICR Documents

Supporting Statement A Document Date Uploaded SSA_EIP 2022 Revision_04212022_SMN_Clean final_Updated_020723_highlighted edits_final OMB_final.docx 02/08/2023 Supporting Statement B Document Date Uploaded SSB_EIP 2022 Revision_04052022.docx 04/25/2022 Supplementary Documents Title Document Document Type Date Uploaded Authorizing Legislature Att1- Authorizing_Regulations_T42_section_241.pdf Supplementary Document 04/25/2022 60 Day FRN Att2- 60-Day FRN_2022.docx Supplementary Document 04/25/2022 HAIC MuGSI PIA MuGSI PIA Signed.pdf Supplementary Document 04/25/2022 EIP CDI PIA EIP CDI ICMS PIA Signed 2.pdf Supplementary Document 04/25/2022 CA CP-CRE Interview Project Manual Att23- HAIC CA CP-CRE interview project manual.pdf Supplementary Document 04/25/2022 Non-Substantial Change Request _Crosswalk Att2_EIP2023_NonSub_Crosswalk_OCT2022.docx Supplementary Document 02/28/2023 Data Collection Elements for COVID-19 Vaccination Status on FluSurv-NET Cases Att10_COVID-19 Vaccination Status on FluSurv-NET Cases_20220808.pdf Supplementary Document 02/28/2023 Crosswalk of Changes Att2_EIP2024_NonSub_Crosswalk_Sept2023.docx Supplementary Document 09/11/2023 Description of Changes Att1_EIP2024_NonSub_DescriptionChanges_Sept2023.docx Supplementary Document 09/11/2023 Non-Substantial Change Request Description of Changes Att1_EIP2023_NonSub_DescriptionChanges_OCT2022.docx Justification for No Material/Nonsubstantive Change 02/28/2023 Request for Approval Non-substantial Change EIP 0920-0978_Non-sub change request_Oct2022FOR2023.docx Justification for No Material/Nonsubstantive Change 02/28/2023 Request for Approval - Change Request SSA EIP 0920-0978_Non-sub change request_SEP092023(v3).docx Justification for No Material/Nonsubstantive Change 09/11/2023 Public Comments Author Name Comment Document Author Affiliation Sponsoring Org. Type Category Date of Comment Date Comment Received