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Tabletop Exercise-- Home Assessments for Patients and Families with Special Health Care Needs Developing Tools, Communication Strategies, and Standards 0920-1154-22HH
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-22HH Att B Tabletop Exercise Question Bank and Guide (for Moderators) Att B Tabletop Exercise Question Bank and Guide (for Moderators).docx Yes Yes Fillable Fileable
Form and Instruction 0920-22HH Att C Tabletop Exercise CYSHCN Feedback Form Att C Tabletop Exercise CYSHCN Feedback Form.docx Yes Yes Fillable Fileable
Form and Instruction 0920-22HH AttD - Exercise Evaluation Form and Guide - CYSHCN TTX AttD - Exercise Evaluation Form and Guide - CYSHCN TTX.docx Yes Yes Fillable Fileable

Health Consumer Health and Safety

 

32 0
   
Individuals or Households
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 32 0 32 0 0 0
Annual IC Time Burden (Hours) 102 0 102 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
GenIC Request GenIC Request 0920-1154 Drexel CYSHCN TTX Jul2022.docx 07/19/2022
Appendix A - Situation Manual Home Assessment TTX Appendix A - Situation Manual Home Assessment TTX.docx 07/19/2022
Appendix A1 - TTX presentation exercise Fall 2022 Appendix A1 - TTX presentation exercise Fall 2022.pptx 07/19/2022
Appendix B - Drexel TTX Save Date-Family Letter Fall 2022 Appendix B - Drexel TTX Save Date-Family Letter Fall 2022.docx 07/19/2022
Appendix E - TTX confirmation - Stakeholders Fall 2022 Appendix E - TTX confirmation - Stakeholders Fall 2022.docx 07/19/2022
Att A CDC Human Subjects Determination CYSHCN TTX Att A CDC Human Subjects Determination CYSHCN TTX.pdf 07/19/2022
SSA SSA_Drexel_CYSHCN_TTX Jul2022v1.docx 07/19/2022
SSB SSB_Drexel_CYSHCN_TTX Jul2022.docx 07/19/2022
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.