[NCIPC] OD2A: LOCAL Linkage to and Retention in Care Surveillance

ICR 202406-0920-005

OMB:

Federal Form Document

Forms and Documents

Document Name	Status
Data Entry Form Form	New
Data Import Template Form	New
Att H - Research determination.pdf Supplementary Document	2024-06-25
Att G - Applicability of Privacy Act.pdf Supplementary Document	2024-06-25
Att E - PUBLISHED 60-DAY FEDERAL REGISTER NOTICE.pdf Supplementary Document	2024-06-25
Att B - OD2A LOCAL Technical Guidance for LTC Surveillance_Version_1.0_10-06-2023.pdf Supplementary Document	2024-06-25
Att A - Authorizing Legislation.docx Supplementary Document	2024-06-21
SSB_LTC_REDCap_5.1.24.docx Supporting Statement B	2024-06-21
SSA_LTC_REDCap_5.24.24v2_final.docx Supporting Statement A	2024-06-21

IC Document Collections

IC ID	Document Title	Status
268981	Data Entry Form Form	New
268980	Data Import Template Form	New