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Agenda
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ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
[OADC] HEADS UP! Parents Messaging Concussion Care Message Materials Testing
Agency IC Tracking Number:
0920-0572-23CH
IC Status:
New
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
0920-23CH
Attachment C_FGD screener
Attachment C_FGD screener.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Public Health Monitoring
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
216
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
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
216
0
216
0
0
0
Annual IC Time Burden (Hours)
74
0
74
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Attachment A_Project Description
Attachment A_Project Description.docx
01/24/2023
Attachment B_FGD recruitment_scheduling_consent
Attachment B_FGD recruitment_scheduling_consent.docx
01/24/2023
Attachment D_FGD Guide
Attachment D_FGD Guide.docx
01/24/2023
Attachment E_FG Slide Deck_Intro
Attachment E_FG Slide Deck_Intro.pptx
01/24/2023
Attachment F_Materials_for_Testing
Attachment F_Materials_for_Testing.pdf
01/24/2023
Attachment G_0572 HMTS Expedited Review Form
Attachment G_0572 HMTS Expedited Review Form (002).pdf
01/24/2023
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.