OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Children's Health after the Storms (CHATS)

OMB 0920-0925 ยท HHS/CDC.

OMB 0920-0925

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Mail Verification Form for Baseline and 6-Month Fllow-up Visits (1% subsample)Form
Verification Questionnaire for Baseline and 6-Month Follow-up Visits (9% subsample)Form
Verification Quesionnaire for Eligibility Screener (10% subsample)Form
6-Month Follow-up: Session 2 (Parent Modules)Form and Instruction
6-Month Follow-up: Session 2 (Child Modules)Form and Instruction
6-Month Follow-up: Session 1 (Parent Modules)Form and Instruction
6-Month Follow-up: Session 1 (Child Modules)Form and Instruction
Baseline: Session 2 (Parent Modules)Form and Instruction
Baseline: Session 2 (Child Modules)Form and Instruction
Baseline: Session 1 (Parent Modules)Form and Instruction
Baseline: Session 1 (Child Modules)Form and Instruction
Eligibillity ScreenerForm
CHATS_ FAQs Attachment_C_revised_02272012_clean with OS edits_NCEH_4May12.docx Supplementary Document
OMB Attachment New Outreach Materials_05042012.docx Supplementary Document
CHATS School PEM letter_16Mar12_clean.docx Supplementary Document
CHATS EnvSampler letter_16Mar12_clean.docx Supplementary Document
CHATS Attachment X OMB _Study Results letters_Spanish.docx Supplementary Document
CHATS Attachment U OMB_Sorry I Missed You Card_Spanish.docx Supplementary Document
CHATS Attachment I OMB_Study Brochure_Spanish&Vietnamese.docx Supplementary Document
CHATS Attachment H OMB_ IntroLetter_Spanish&Vietnamese.docx Supplementary Document
CHATS Attachment F OMB_ConsentForms_Spanish&Vietnamese.docx Supplementary Document
CHATS Attachment D OMB_Payment Receipt_Spanish.docx Supplementary Document
CHATS Attachment C OMB_Websites_Spanish.docx Supplementary Document
CHATS Justification of Change_Apr12_version 4.docx Justification for No Material/Nonsubstantive Change
CHATS Attachment O OMB_6-Month Session_2_Spanish.docx Supplementary Document
CHATS Attachment N OMB_6-Month Session_1_Spanish.docx Supplementary Document
CHATS Attachment M OMB_Baseline Session 2_Spanish.docx Supplementary Document
CHATS Attachment L OMB_Baseline Session_1_Spanish.docx Supplementary Document
CHATS Attachment K OMB_EligibScreener_v3.5_Spanish.docx Supplementary Document
Mail Verification Form for Baseline and 6-Month Fllow-up Visits (1% subsample) Form
Verification Questionnaire for Baseline and 6-Month Follow-up Visits (9% subsample) Form
Verification Quesionnaire for Eligibility Screener (10% subsample) Form
6-Month Follow-up: Session 2 (Parent Modules) Form and Instruction
6-Month Follow-up: Session 2 (Child Modules) Form and Instruction
6-Month Follow-up: Session 1 (Parent Modules) Form and Instruction
6-Month Follow-up: Session 1 (Child Modules) Form and Instruction
Baseline: Session 2 (Parent Modules) Form and Instruction
Baseline: Session 2 (Child Modules) Form and Instruction
Baseline: Session 1 (Parent Modules) Form and Instruction
Baseline: Session 1 (Child Modules) Form and Instruction
Eligibillity Screener Form

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
201204-0920-002 No material or nonsubstantive change to a currently approved collection 2012-04-17 Approved without change
201109-0920-001 New collection (Request for a new OMB Control Number) 2011-09-08 Approved with change