Information Collection Request

Medical Monitoring Project

ICR 201805-0920-003 · OMB 0920-0740 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 0920-0740 8a_MMP 2018 Questionnaire (English) Form Modified Available
Att 17 PIA_ Signed.pdf Supplementary Document Uploaded 2018-05-17 Available
Att 16_Sample sizes.docx Supplementary Document Uploaded 2018-05-17 Available
Att 3b_MMP Model Consent 2015 2018 comparison.doc.docx Supplementary Document Uploaded 2018-05-17 Available
Att 15_AgreementToAbide by Restrictions.docx Supplementary Document Uploaded 2018-05-17 Available
Att 10_MMP project determination.pdf Supplementary Document Uploaded 2018-05-17 Available
Att 7_Consultants.doc Supplementary Document Uploaded 2018-05-17 Available
Att 9_Assurance of Confidentiality.docx Supplementary Document Uploaded 2018-05-17 Available
Att 14_ DCC ATO.pdf Supplementary Document Uploaded 2018-05-17 Available
Att 6_MMP Bibliography.rtf Supplementary Document Uploaded 2018-05-17 Available
Att 4_Minimum Dataset Elements.docx Supplementary Document Uploaded 2018-05-17 Available
Att 13_MMP MRA Data Structure.docx Supplementary Document Uploaded 2018-05-17 Available
Att 7_Consultants.doc Supplementary Document Uploaded 2018-05-14 Available
Att 12_MMP_CrossJ_Agreement.docx Supplementary Document Uploaded 2018-05-14 Available
Att 5_References.docx Supplementary Document Uploaded 2018-06-26 Available
Att 3a_MMP Model Consent 2018.doc Supplementary Document Uploaded 2018-05-17 Available
Att 8d_Summary of changes to questionnaire 2017 10 05.docx Supplementary Document Uploaded 2018-05-17 Available
Att 2_60 Day FRN.docx Supplementary Document Uploaded 2018-05-14 Available
Att 1_Sect 301 PHSA.pdf Supplementary Document Uploaded 2018-05-14 Available
SS B.doc Supporting Statement B Uploaded 2018-06-26 Available
SSA.doc Supporting Statement A Uploaded 2018-06-26 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
180569 Att 11c_Model Patient Recruitment Script - Facility Instruction Modified
180568 Att 11b_Model Patient recruitment Script-Area Instruction Modified
180566 Att 1db_Model Patient Recruitment Script-Tex and E-mail Instruction Modified
180565 8a_MMP 2018 Questionnaire (English) Form Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
06/30/2021 36 Months From Approved 06/30/2018
18,430 0 20,710
6,354 0 7,140
140,018 0 157,341





table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 18,430 20,710 0 -2,280 0 0
Annual Time Burden (Hours) 6,354 7,140 0 -786 0 0
Annual Cost Burden (Dollars) 140,018 157,341 0 -17,323 0 0


Reginfo record details
  No