Information Collection Request

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

ICR 202406-0920-005 · OMB unassigned · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Data Entry Form Form New Repair queued
Data Import Template Form New Missing upstream
Att H - Research determination.pdf Supplementary Document Uploaded 2024-06-25 Repair queued
Att G - Applicability of Privacy Act.pdf Supplementary Document Uploaded 2024-06-25 Repair queued
Att E - PUBLISHED 60-DAY FEDERAL REGISTER NOTICE.pdf Supplementary Document Uploaded 2024-06-25 Repair queued
Att B - OD2A LOCAL Technical Guidance for LTC Surveillance_Version_1.0_10-06-2023.pdf Supplementary Document Uploaded 2024-06-25 Repair queued
Att A - Authorizing Legislation.docx Supplementary Document Uploaded 2024-06-21 Repair queued
SSB_LTC_REDCap_5.1.24.docx Supporting Statement B Uploaded 2024-06-21 Repair queued
SSA_LTC_REDCap_5.24.24v2_final.docx Supporting Statement A Uploaded 2024-06-21 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
268981 Data Entry Form Form New
268980 Data Import Template Form New

ICR Details

Record metadata
Received in OIRA
HHS/CDC
New collection (Request for a new OMB Control Number)
0920-24AZ
1969-12-31
1969-12-31