Information Collection Request
[NCBDDD] Focus Groups Among Adults with or Caring for Individuals with Congenital Heart Defects (CHD), Muscular Dystrophy (MD), and Spina Bifida (SB).
ICR 202403-0920-012 · OMB 0920-1433 · Received in OIRA
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0920-1433 can be found here:
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 SP Focus Group Guide |
Form and Instruction | New | Repair queued |
| SB Screening Tool |
Form and Instruction | New | Repair queued |
| MD Focus Group Guide |
Form and Instruction | New | Repair queued |
| MD Screening Tool |
Form and Instruction | New | Repair queued |
| CHD Focus Group Guide |
Form and Instruction | New | Repair queued |
| CHD Screening Tool |
Form and Instruction | New | Repair queued |
 Att35_CHD.MD.SB Focus Groups_PRA_PIA_PrivacySubmission.pdf |
Supplementary Document | Uploaded 2024-03-28 | Repair queued |
| Att34_Human Subjects Determination.pdf |
Supplementary Document | Uploaded 2024-03-28 | Repair queued |
| Att32_60day FRN CHD.MD.SB Focus groups.pdf |
Supplementary Document | Uploaded 2024-03-28 | Repair queued |
| Att31_Auth Legislation.pdf |
Supplementary Document | Uploaded 2024-03-28 | Repair queued |
 Att30_ALL_Consent Form_03222024.docx |
Supplementary Document | Uploaded 2024-03-28 | Repair queued |
| Att29_SB11_Thank You Email Individual.docx |
Supplementary Document | Uploaded 2024-03-28 | Repair queued |
| Att28_SB10_Thank You Email Caregiver.docx |
Supplementary Document | Uploaded 2024-03-28 | Repair queued |
| Att26_SB8_Calendar Invite Email Individual.docx |
Supplementary Document | Uploaded 2024-03-28 | Repair queued |
| Att25_SB7_Calendar Invite Email Caregiver.docx |
Supplementary Document | Uploaded 2024-03-28 | Repair queued |
| Att24_SB6_Participant Selection Email.docx |
Supplementary Document | Uploaded 2024-03-28 | Repair queued |
| Att22_SB4_FG Mailer Individual.docx |
Supplementary Document | Uploaded 2024-03-28 | Repair queued |
| Att21_SB3_FG Mailer Caregiver.docx |
Supplementary Document | Uploaded 2024-03-28 | Repair queued |
| Att20_SB2_FG Email Individual.docx |
Supplementary Document | Uploaded 2024-03-28 | Repair queued |
| Att19_SB1_FG Email Caregiver.docx |
Supplementary Document | Uploaded 2024-03-28 | Repair queued |
| Att18_MD11_Thank You Email Individual.docx |
Supplementary Document | Uploaded 2024-03-28 | Missing upstream |
| Att17_MD10_Thank You Email Caregiver.docx |
Supplementary Document | Uploaded 2024-03-28 | Repair queued |
| Att15_MD8_Calendar Invite Email Individual.docx |
Supplementary Document | Uploaded 2024-03-28 | Repair queued |
| Att14_MD7_Calendar Invite Email Caregiver.docx |
Supplementary Document | Uploaded 2024-03-28 | Repair queued |
| Att13_MD6_Participant Selection Email.docx |
Supplementary Document | Uploaded 2024-03-28 | Repair queued |
| Att11_MD4_FG Mailer Individual.docx |
Supplementary Document | Uploaded 2024-03-28 | Repair queued |
| Att10_MD3_FG Mailer Caregiver.docx |
Supplementary Document | Uploaded 2024-03-28 | Repair queued |
| Att9_MD2_FG Email Individual.docx |
Supplementary Document | Uploaded 2024-03-28 | Repair queued |
| Att8_MD1_FG Email Caregiver.docx |
Supplementary Document | Uploaded 2024-03-28 | Repair queued |
| Att7_CHD7_ThankYou Email.docx |
Supplementary Document | Uploaded 2024-03-28 | Repair queued |
| Att5_CHD5_Calendar Invite Email.docx |
Supplementary Document | Uploaded 2024-03-28 | Repair queued |
| Att4_CHD4_Participant Selection Email.docx |
Supplementary Document | Uploaded 2024-03-28 | Repair queued |
| Att2_CHD2_FG Mailer.docx |
Supplementary Document | Uploaded 2024-03-28 | Missing upstream |
| Att1_CHD1_FG Email.docx |
Supplementary Document | Uploaded 2024-03-28 | Repair queued |
| Supporting Statement B_final.docx |
Supporting Statement B | Uploaded 2024-03-28 | Repair queued |
| Supporting Statement A_final.docx |
Supporting Statement A | Uploaded 2024-03-28 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 266384 |  SP Focus Group Guide |
Form and Instruction | New | |
| 266383 | SB Screening Tool |
Form and Instruction | New | |
| 266382 | MD Focus Group Guide |
Form and Instruction | New | |
| 266381 | MD Screening Tool |
Form and Instruction | New | |
| 266380 | CHD Focus Group Guide |
Form and Instruction | New | |
| 266346 | CHD Screening Tool |
Form and Instruction | New |
ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | HHS/CDC |
| OMB Control No | 0920-1433 |
| Type of Information Collection | New collection (Request for a new OMB Control Number) |
| Agency Tracking No | 0920-23DV |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |