ICR Documents

Supporting Statement A Document Date Uploaded PartA_OMB_package_supporting_statement for CIREN 20240528 clean.docx 08/22/2024 Supporting Statement B Document Date Uploaded PartB_OMB_package for CIREN 20240528 clean.docx 08/22/2024 Supplementary Documents Title Document Document Type Date Uploaded 60 Day Notice 60 day notice pdf.pdf Supplementary Document 07/05/2024 Form 1770 CIREN Occupant Interview Form Form 1770 CIREN Occupant Interview Form 20230830.docx Supplementary Document 08/22/2024 Form 1771 CIREN Pedestrian Interview Form Form 1771 CIREN Pedestrian Interview Form 20230830.docx Supplementary Document 08/22/2024 Form 1772 Emory CIREN Consent to be a research subject Form 1772 Emory CIREN Consent to be a research subject.pdf Supplementary Document 08/22/2024 Form 1773 Emory CIREN Assent form for minor subjects Form 1773 Emory CIREN Assent form for minor subjects.pdf Supplementary Document 08/22/2024 Form 1774 Emory CIREN Consent for vehicle inspection Form 1774 Emory CIREN Consent for vehicle inspection.pdf Supplementary Document 08/22/2024 Form 1775 Emory CIREN Photo release Form 1775 Emory CIREN Photo release.pdf Supplementary Document 08/22/2024 Form 1776 WFU CIREN Informed consent subject WFUHS Form 1776 WFU CIREN Informed consent subject WFUHS.pdf Supplementary Document 08/22/2024 Form 1777 WFU CIREN Informed consent subject Spanish WFUHS Form 1777 WFU CIREN Informed consent subject Spanish WFUHS.pdf Supplementary Document 08/22/2024 Form 1778 WFU CIREN Informed consent subject AHCMC Form 1778 WFU CIREN Informed consent subject AHCMC.pdf Supplementary Document 08/22/2024 Form 1779 WFU CIREN Informed consent subject Spanish AHCMC Form 1779 WFU CIREN Informed consent subject Spanish AHCMC.pdf Supplementary Document 08/22/2024 Form 1780 WFU CIREN Informed consent vehicle WFUHS Form 1780 WFU CIREN Informed consent vehicle WFUHS.pdf Supplementary Document 08/22/2024 Form 1781 WFU CIREN Informed consent vehicle Spanish WFUHS Form 1781 WFU CIREN Informed consent vehicle Spanish WFUHS.pdf Supplementary Document 08/22/2024 Form 1782 WFU CIREN Informed consent vehicle AHCMC Form 1782 WFU CIREN Informed consent vehicle AHCMC.pdf Supplementary Document 08/22/2024 Form 1783 WFU CIREN Informed consent vehicle AHCMC Form 1783 WFU CIREN Informed consent vehicle AHCMC.pdf Supplementary Document 08/22/2024 Form 1784 Inova CIREN Consent form patient IFH Form 1784 Inova CIREN Consent form patient IFH.docx Supplementary Document 08/22/2024 Form 1785 Inova CIREN Assent form IFH Form 1785 Inova CIREN Assent form IFH.docx Supplementary Document 08/22/2024 Form 1786 Inova CIREN Consent form vehicle IFH Form 1786 Inova CIREN Consent form vehicle IFH.docx Supplementary Document 08/22/2024 Form 1787 Inova CIREN Consent form patient UVA Form 1787 Inova CIREN Consent form patient UVA.pdf Supplementary Document 08/22/2024 Form 1788 Inova CIREN Assent form UVA Form 1788 Inova CIREN Assent form UVA.pdf Supplementary Document 08/22/2024 Form 1789 Inova CIREN Consent form vehicle UVA Form 1789 Inova CIREN Consent form vehicle UVA.pdf Supplementary Document 08/22/2024 Form 1790 Inova CIREN Consent form patient WMC Form 1790 Inova CIREN Consent form patient WMC.pdf Supplementary Document 08/22/2024 Form 1791 UAB CIREN Consent form adult patient Form 1791 UAB CIREN Consent form adult patient.pdf Supplementary Document 08/22/2024 Form 1792 UAB CIREN Consent form child patient Form 1792 UAB CIREN Consent form child patient.pdf Supplementary Document 08/22/2024 Form 1793 UAB CIREN Assent form child Form 1793 UAB CIREN Assent form child.pdf Supplementary Document 08/22/2024 Form 1794 UMD CIREN Consent form patient occupant Form 1794 UMD CIREN Consent form patient occupant.pdf Supplementary Document 08/22/2024 Form 1795 UMD CIREN Consent form patient pedestrian Form 1795 UMD CIREN Consent form patient pedestrian.pdf Supplementary Document 08/22/2024 Form 1796 UMD CIREN Assent form pedestrian Form 1796 UMD CIREN Assent form pedestrian.pdf Supplementary Document 08/22/2024 30-Day Notice 30 day notice pdf.pdf Supplementary Document 09/03/2024 Form 1770 CIREN Occupant Interview Form Updated Form 1770 CIREN Occupant Interview Form 20250203.docx Supplementary Document 02/05/2025 Form 1771 CIREN Pedestrian Interview Form Updated Form 1771 CIREN Pedestrian Interview Form 20250203.docx Supplementary Document 02/05/2025 Public Comments Author Name Comment Document Author Affiliation Sponsoring Org. Type Category Date of Comment Date Comment Received Howlett-Smith, Hariett Public Comment Howlett Smith.docx None None Other -- Simple 01/19/2024 01/19/2024 Vestal, Shanna Public Comment Vestal.docx None None Other -- Simple 01/15/2024 01/15/2024