ICR Documents

Supporting Statement A Document Date Uploaded Supporting Statement A_Medical Assessment Form and Dental Assessment Form_Clean.docx 10/04/2024 Supporting Statement B Document Date Uploaded Supplementary Documents Title Document Document Type Date Uploaded Attachment A - Flores Agreement Attachment A_Flores Agreement.docx Supplementary Document 08/02/2023 Attachment B - Medical Assessment Form Instructional Letter for Medical Providers Attachment B_Medical Assessment Form Instructional Letter for Medical Providers.docx Supplementary Document 08/02/2023 Attachment C - Dental Assessment Form Instructional Letter for Dental Providers Attachment C_Dental Assessment Form Instructional Letter for Dental Providers.docx Supplementary Document 08/02/2023 30-Day FRN - Update to Data Sharing Language in SSA 30 Day FRN_Data Sharing Updates _0970-0466 and 0970-0509_7.2.24.pdf Supplementary Document 10/04/2024 NonSub Change - Medical Assessment Form NonSub Change Request_Medical Assessment Form_0970-0466.docx Justification for No Material/Nonsubstantive Change 12/05/2023 NonSub Chg - Update to Data Sharing Language in SSA NonSub Change Request_0466 and 0509_FINAL_10.4.24.docx Justification for No Material/Nonsubstantive Change 10/04/2024 NonSub Change - ACF Updates for Presidential Directives NonSub Change - Update to ACF ICs - Protecting Women EO - Submission 2.10.25.docx Justification for No Material/Nonsubstantive Change 02/10/2025 Public Comments Author Name Comment Document Author Affiliation Sponsoring Org. Type Category Date of Comment Date Comment Received