ICR Documents

Supporting Statement A Document Date Uploaded SSA_0222-12012022.docx 12/02/2022 Supporting Statement B Document Date Uploaded SSB_0222_12012022.docx 12/02/2022 Supplementary Documents Title Document Document Type Date Uploaded Authorizing Legislation: PHSA Att A Public Health Serv Act.docx Supplementary Document 08/03/2021 Nondisclosure Affadavit Att C Nondisclosure Affidavit.docx Supplementary Document 08/03/2021 Screening Script Att D Screening Script.docx Supplementary Document 08/03/2021 Informed Consent Att E Informed Consent.docx Supplementary Document 08/03/2021 Special Consent (Video and Audio): Individual Interview Att F Spec Consent Cog Int.docx Supplementary Document 08/03/2021 Special Consent (Video and Audio): Discussion Group Att G Spec Consent Focus Group.docx Supplementary Document 08/03/2021 IRB Approval Att H-1&H-2 IRB Approval Documentation.docx Supplementary Document 08/03/2021 Sample Recruitment Flyer Att I Sample flyer.docx Supplementary Document 08/03/2021 Sample Newspaper Advertisement Att J Sample newspaper adv.docx Supplementary Document 08/03/2021 Sample CCQDER Voice Mail Script Att K Voice mail script.docx Supplementary Document 08/03/2021 Sample Advance Letter Att L Sample Advance Letter.docx Supplementary Document 08/03/2021 Sample Respondent Data Collection Sheet Att M Sample Resp Data Collect Sheet.docx Supplementary Document 08/03/2021 Detailed Explanation of Cognitive Interview Procedure Att N Explain Cog Interview.docx Supplementary Document 08/03/2021 Thank You Letter to Respondents Att O Thank You Letter.docx Supplementary Document 08/03/2021 60d FRN-published 2022 Att B 60-Day Published FRN 9_30_2022.pdf Supplementary Document 12/14/2022 NonSubstantive Change Request Justification Change Request Memo - EO14168 - 0920-0222 (RANDS 11).docx Justification for No Material/Nonsubstantive Change 04/22/2025 Public Comments Author Name Comment Document Author Affiliation Sponsoring Org. Type Category Date of Comment Date Comment Received