OMB control number

Information Collection on Cause-Specific Absenteeism in Schools (Pittsburgh Location)

OMB 0920-1056 · HHS/CDC.

OMB 0920-1056

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
SMART2 Cohort Project Consent Form 23MAR2015Form and Instruction
Cohort Weekly Illness ReportForm
Cohort Intake FormForm
Oral Script to obtain assent from Children 13 plus (in the Nurse's office)Form and Instruction
Oral Script to obtain assent from Children 13 plus (after return to school from absence)Form and Instruction
Oral Script to obtain assent from Children 7-12 (in the Nurse's office)Form and Instruction
Oral Script to obtain assent from Children 7-12 (after return to school from absence)Form and Instruction
Oral Script to obtain assent from Children 5-6 (in the Nurse's office)Form and Instruction
Oral Script to obtain Assent from Children 5-6 (after return to school from absence)Form and Instruction
Absentee Reporting Form - Survey of Parent or Child 24MAR2015Form
Attachment D5 Amendment Approval Notice_FINAL.pdf Supplementary Document
FW alleged flu pandemics by cdc - they inflate the nujmbers.txt Supplementary Document
Attachment E Parent opt out letter.docx Supplementary Document
Attachment D4 CDC IRB deferral letter.pdf Supplementary Document
Attachment D3 University of Pittsburg – IRB approval.pdf Supplementary Document
Attachment D2 Johns Hopkins University – IRB approval.pdf Supplementary Document
Attachment D1 Approved Protocol 31DEC2014.docx Supplementary Document
Attachment C School district support letters.pdf Supplementary Document
Attachment B 60-Day FRN Absentee Pittsburgh.docx Supplementary Document
Attachment A3 Section 301 of the Public Health Service Act (42 USC 241).pdf Supplementary Document
Attachment A2 Code of Federal Regulations part 70.pdf Supplementary Document
Attachment A1 Section 361 of the Public Health Service Act (42 USC 264)..pdf Supplementary Document
SSB Pitt School Absentee 31DEC2014.docxSupporting Statement B
Supporting Statement A Pitt School Absentee_3 20 15.docxSupporting Statement A
Biospecimen Collection from Sentinel Cohort (Students and Household Members) Form and Instruction
Sentinel Family Cohort Weekly Illness Report Form
Sentinel Family Cohort Intake Form Form
Bioispecimen Collection from Students (Absentee Surveillance) Form and Instruction
Bioispecimen Collection from Students (Absentee Surveillance) Form and Instruction
Bioispecimen Collection from Students (Absentee Surveillance) Form and Instruction
Bioispecimen Collection from Students (Absentee Surveillance) Form and Instruction
Bioispecimen Collection from Students (Absentee Surveillance) Form and Instruction
Bioispecimen Collection from Students (Absentee Surveillance) Form and Instruction
School Absentee Reporting Form Form

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
201412-0920-016 New collection (Request for a new OMB Control Number) 2015-01-08 Approved with change