OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Early Hearing Detection and Intervention - Pediatric Audiology Links to Service (EHDI-PALS) Facility Survey

OMB 0920-0955 · HHS/CDC.

OMB 0920-0955

Latest Forms, Documents, and Supporting Material

Document Name
EHDI-PALS Survey (review for previous participants) Form and Instruction
EHPI-PALS Facility Survey (first time participants) Form and Instruction
EHDI-PALS Facility Survey Introduction (drop-outs) Form and Instruction
Att 6_rpt684_IRB_Form2016.pdf Supplementary Document
Att 5 EHDI PALs_Collaborators.docx Supplementary Document
Att 4_Annual reminder to review.docx Supplementary Document
Att 1b Authorizing Legislation_EHDI Act 2010.pdf Supplementary Document
Att 1 Legal authority_PHSA.docx Supplementary Document
EHDIPALS ICR B_2 15 2017.docx Supporting Statement B
EHDIPALS ICR A _2 15 2017.docx Supporting Statement A
EHDI-PALS Survey (review for previous participants) Form and Instruction
EHPI-PALS Facility Survey (first time participants) Form and Instruction
EHDI-PALS Facility Survey Introduction (drop-outs) Form and Instruction

All Historical Document Collections

201612-0920-011 Approved without change	Revision of a currently approved collection	2017-02-16
201402-0920-002 Approved without change	Revision of a currently approved collection	2014-02-03
201301-0920-005 Approved without change	New collection (Request for a new OMB Control Number)	2013-01-15