OMB control number
Early Hearing Detection and Intervention - Pediatric Audiology Links to Service (EHDI-PALS) Facility Survey
OMB 0920-0955 ยท HHS/CDC.
OMB 0920-0955
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 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All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 201612-0920-011 | Revision of a currently approved collection | 2017-02-16 | Approved without change | |
| 201402-0920-002 | Revision of a currently approved collection | 2014-02-03 | Approved without change | |
| 201301-0920-005 | New collection (Request for a new OMB Control Number) | 2013-01-15 | Approved without change |