ICR Documents

Supporting Statement A Document Date Uploaded OMB SS PART A_Control No 0920-0743.docx 01/22/2026 Supporting Statement B Document Date Uploaded OMB SS PART A_Control No 0920-0743.docx 01/22/2026 Supplementary Documents Title Document Document Type Date Uploaded Att 3a_CDC Survey Website Attachment 3a CDC Survey Website.pdf Supplementary Document 08/31/2021 Att 3b_2018 Hospital Report Attachment 3b 2018 Hospital Report.pdf Supplementary Document 09/29/2021 Att 8_Scoring Algorithm Attachment 8 mPINC Scoring Algorithm.pdf Supplementary Document 09/29/2021 Att 7_Human Subject Attachment 7 Human Subjects Document.pdf Supplementary Document 09/29/2021 Att 1_Authorizing Legislation Attachment 1 Public Health Service Act [42 U.S.C. 241].pdf Supplementary Document 09/29/2021 Att 2a_60 day Federal Register Notice Attachment 2a 60 day Federal Register Notice.pdf Supplementary Document 09/29/2021 Att 3c_Frequently Asked Questions Attachment 3c Frequently Asked Questions.docx Supplementary Document 09/29/2021 PIA mPINC 2278 PIA_Reauth_PO_approved.pdf Supplementary Document 09/29/2021 Public Health Service Act [42 U.S.C. 241] Attachment 1 Public Health Service Act [42 U.S.C. 241].pdf Supplementary Document 01/22/2026 Website Attachment 3a CDC Survey Website.pdf Supplementary Document 01/22/2026 Frequently Asked Questions Attachment 3c Frequently Asked Questions.pdf Supplementary Document 01/22/2026 Screenshots mPINC 2026 Screening B-English Attachment 3d Screenshots mPINC 2026 Screening B-English.docx Supplementary Document 01/22/2026 Screenshots mPINC 2026 Screening B-Spanish Attachment 3e Screenshots mPINC 2026 Screening B-Spanish.docx Supplementary Document 01/22/2026 Screenshots mPINC 2026 Survey-Spanish Attachment 3g Screenshots mPINC 2026 Survey-Spanish.docx Supplementary Document 01/22/2026 Scoring Algorithm Attachment 8 mPINC Scoring Algorithm.pdf Supplementary Document 01/22/2026 Screenshots mPINC 2026 Survey-English Attachment 3f Screenshots mPINC 2026 Survey-English.docx Supplementary Document 01/22/2026 Human Subjects Document-Contractor Attachment 7b Human Subjects Document-Contractor.pdf Supplementary Document 01/22/2026 Human Subjects Document-CDC Attachment 7a Human Subjects Document-CDC.docx Supplementary Document 01/22/2026 Privacy Narrative Form Attachment 6 Privacy Narrative Form 0920-0743 Dec2025.pdf Supplementary Document 01/22/2026 Reminder Telephone Call-Spanish Attachment 5n Reminder Telephone Call-Spanish.docx Supplementary Document 01/22/2026 Reminder Telephone Call Script-English Attachment 5m Reminder Telephone Call Script-English.docx Supplementary Document 01/22/2026 Reminder Email-Spanish Attachment 5l Reminder Email-Spanish.docx Supplementary Document 01/22/2026 Attachment 5k Reminder Email-English Attachment 5k Reminder Email-English.docx Supplementary Document 01/22/2026 Screener Cover Letter Paper-English Attachment 5c Screener Cover Letter Paper-English.docx Supplementary Document 01/22/2026 Advance Notification Letter-English Attachment 5a Advance Notification Letter-English.docx Supplementary Document 01/22/2026 Advance Notification Letter-Spanish Attachment 5b Advance Notification Letter-Spanish.docx Supplementary Document 01/22/2026 2026 Hospital Report Attachment 3b 2026 Hospital Report.pdf Supplementary Document 01/23/2026 Screenshots mPINC 2026 Survey-English Attachment 3f Screenshots mPINC 2026 Survey-English.docx Supplementary Document 01/23/2026 Attachment 5d Screener Cover Letter Paper-Spanish Attachment 5d Screener Cover Letter Paper-Spanish.docx Supplementary Document 01/23/2026 Attachment 5e Screener Cover Letter Email-English Attachment 5e Screener Cover Letter Email-English.docx Supplementary Document 01/23/2026 Screener Cover Letter Email-English Attachment 5e Screener Cover Letter Email-English.docx Supplementary Document 01/23/2026 Screener Cover Letter Email-Spanish Attachment 5f Screener Cover Letter Email-Spanish.docx Supplementary Document 01/23/2026 Survey Cover Letter Email-English Attachment 5g Survey Cover Letter Email-English.docx Supplementary Document 01/23/2026 Survey Cover Letter Email-Spanish Attachment 5h Survey Cover Letter Email-Spanish.docx Supplementary Document 01/23/2026 Public Comments Author Name Comment Document Author Affiliation Sponsoring Org. Type Category Date of Comment Date Comment Received Anonymous Attachment 2b Summary Public Comments.docx Other -- Simple 01/22/2026 01/22/2026