ICR Documents

Supporting Statement A Document Date Uploaded 0856 NQDW_SSA rk_final.docx 07/23/2025 Supporting Statement B Document Date Uploaded 0856 NQDW_SSB_clean.docx 07/22/2022 Supplementary Documents Title Document Document Type Date Uploaded Authorizing Legislation: Public Health Service Act 0856 NQDW Att A1_Public Health Service Act_42 USC 241.pdf Supplementary Document 07/22/2022 60-day Federal Register Notice 0856 NQDW Att A2_Published 60-day FRN_2021-14441.pdf Supplementary Document 07/22/2022 Summary of Public Comments and CDC Response 0856 NQDW Att A3_Summary of Public Comments.docx Supplementary Document 07/22/2022 Consultants on NQDW 0856 NQDW Att B_Consultants on NQDW.docx Supplementary Document 07/22/2022 Data Collection Calendar 0856 NQDW Att G1_Data Collection Calendar.docx Supplementary Document 07/22/2022 Sample Email Request for Submitting NQDW Individual-Level Intake Data (without outstanding data) 0856 NQDW Att G3_Intake Data Request_Without Outstanding Data.docx Supplementary Document 07/22/2022 Sample Email Request for Submitting NQDW Individual-Level Intake Data (with outstanding data) 0856 NQDW Att G4_Intake Data Request_With Outstanding Data.docx Supplementary Document 07/22/2022 Sample Email Request for Submitting NQDW Individual-Level Intake and Services Data (without outstanding data) 0856 NQDW Att G5_Intake-Survey Data Request_Without Outstanding Data.docx Supplementary Document 07/22/2022 Sample Email Request for Submitting NQDW Individual-Level Intake and Services Data (with outstanding data) 0856 NQDW Att G6_Intake-Survey Data Request_With Outstanding Data.docx Supplementary Document 07/22/2022 Sample Email Request for Submitting ASQ 7-month Follow-up Data 0856 NQDW Att G7-Month Follow-up Data Request.docx Supplementary Document 07/22/2022 Sample Email Past Due Prompt 0856 NQDW Att G8_Intake, Survey, or 7-month Follow-up Past Due Prompt.docx Supplementary Document 07/22/2022 Sample Email Past Due Prompt for Individual Data or Services Data 0856 NQDW Att G9_Intake or Survey Outstanding Data Prompt.docx Supplementary Document 07/22/2022 Sample Table Shells 0856 NQDW Att H_Sample Table Shells Updated 2025_tracked_072025_final.docx Supplementary Document 07/23/2025 Change Request Justification Change Request Memo - EO14168 NQDW_final.docx Justification for No Material/Nonsubstantive Change 07/23/2025 Public Comments Author Name Comment Document Author Affiliation Sponsoring Org. Type Category Date of Comment Date Comment Received