Information Collection Request

[NCBDDD] The Muscular Dystrophy Surveillance, Tracking, and Research Network (MD STARnet) Living with Muscular Dystrophy Survey

ICR 202302-0920-006 · OMB 0920-1405 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
MD STARnet Women Living with Muscular Dystrophy Survey Form and Instruction New Repair queued
MD STARnet Men Living with Muscular Dystrophy Survey Form and Instruction New Missing upstream
Attachment Ra-i_RecruitmentandFollow-upCommunication.docx Supplementary Document Uploaded 2023-02-24 Repair queued
Attachment Q_Study Flowchart.docx Supplementary Document Uploaded 2023-02-24 Repair queued
Attachment P_MD STARnet Survey Research Determination.pdf Supplementary Document Uploaded 2023-02-24 Repair queued
Attachment O_VCU IRB Approval MDSTARnet Survey.pdf Supplementary Document Uploaded 2023-02-24 Repair queued
Attachment N_UUtah IRB Approval MDSTARnet Survey.docx Supplementary Document Uploaded 2023-02-24 Repair queued
Attachment M_SCDHEC IRB Approval MDSTARnet Survey.pdf Supplementary Document Uploaded 2023-02-24 Repair queued
Attachment L_NYSDOH IRB Exemption MDSTARnet Survey.pdf Supplementary Document Uploaded 2023-02-24 Repair queued
Attachment K_RTI IRB Exemption MDSTARnet Survey.pdf Supplementary Document Uploaded 2023-02-24 Repair queued
Attachment J_UIowa IRB Approval MDSTARnet Survey.rtf Supplementary Document Uploaded 2023-02-24 Missing upstream
Attachment I_UFlorida IRB Approval MDSTARnet Survey.pdf Supplementary Document Uploaded 2023-02-24 Missing upstream
Attachment H_MD_STARnet_CaseDefinitions_8.6.2021.docx Supplementary Document Uploaded 2023-02-24 Repair queued
Attachment G_60 Day Federal Register Notice.pdf Supplementary Document Uploaded 2023-02-24 Repair queued
Attachment B_MD CARE Act of 2001.pdf Supplementary Document Uploaded 2023-02-24 Repair queued
Attachment A_Public Health Service Act.docx Supplementary Document Uploaded 2023-02-24 Missing upstream
2023 2 13 SSA MDSTARnet_Survey.docx Supporting Statement A Uploaded 2023-02-24 Repair queued
2023 2 13 SSB MDSTARnet_Survey.docx Supporting Statement B Uploaded 2023-02-24 Missing upstream

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
258573 MD STARnet Women Living with Muscular Dystrophy Survey Form and Instruction New
258572 MD STARnet Men Living with Muscular Dystrophy Survey Form and Instruction New

ICR Details

Record metadata
Received in OIRA
HHS/CDC
0920-1405
New collection (Request for a new OMB Control Number)
0920-22IV
1969-12-31
1969-12-31