OMB control number

Multi-site Clinical Assessment of Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (MCAM)

OMB 0920-1341 · HHS/CDC.

OMB 0920-1341

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form 0920-20QS 6_Physical Activity Readiness Questionnaire_PAR-QForm and Instruction
Form 0920-20QS 5_International Physical Activity Questionnaire_Self-Administered Long FormForm and Instruction
Form 0920-20QS 4_Physical Fitness and Exercise Activity Levels of ScaleForm and Instruction
Form 0920-20QS 3_PROMIS SFv1 Physical FunctionForm and Instruction
Form 0920-20QS 2_EQ-5D-Y Health QuestionnaireForm and Instruction
Form 0920-20QS 1_Visual Analogue Scale for CFS SymptomsForm and Instruction
Form 0920-20QS Multi-site Clinical Assessment of Myalgic Encephalomyelitis/ Chronic Fatigue Syndrome (MCAM)ATT.5Form and Instruction
Form 0920-20QS 13_Saliva Data Collection SheetForm and Instruction
Form 0920-20QS 12_Sociability FormForm and Instruction
Form 0920-20QS 11_Social Participation Form PediatricForm and Instruction
Form 0920-20QS 10_Pediatric Daytime Sleepiness ScaleForm and Instruction
Form 0920-20QS 9_Hospital Anxiety and Depression ScaleForm and Instruction
Form 0920-20QS 8_Visual Analogue ScaleForm and Instruction
Form 0920-20QS 7_Pediatric Pain Questionnaire_PPQForm and Instruction
Form 0920-20QS 6_PROMIS Pediatric InstrumentsForm and Instruction
Form 0920-20QS 5_Selected Questions from DePaul Pediatric Health Questionnaire_DPHQForm and Instruction
Form 0920-20QS 4_Multidimensional Fatigue Inventory_MFI-20Form and Instruction
Form 0920-20QS 3_SF-36 Health SurveyForm and Instruction
Form 920-20QS 2_CDC Symptom Inventory_For the Follow-Up Subjects PediatricsForm and Instruction
Form 092-20QS 1_CDC Symptom Inventory_For Baseline Subjects PediatricsForm and Instruction
Form 092-20QS Multi-site Clinical Assessment of Myalgic Encephalomyelitis/ Chronic Fatigue Syndrome (MCAM) ATT.4Form and Instruction
Form 0920-20QS 20_COMPosite Autonomic Symptom Score 31_COMPASS-31Form and Instruction
Form 0920-20QS 19_Orthostatic Grading Scale_OGSForm and Instruction
Form 0920-20QS 18_Saliva Data Collection SheetForm and Instruction
Form 0920-20QS 17_Illness Impact QuestionnaireForm and Instruction
Form 0920-20QS 16_Self-Rating Depression Scale_SDSForm and Instruction
Form 0920-20QS 15_CDC HRQoL-4 with activity limitation questionsForm and Instruction
Form 0920-20QS 14_CDC HRQoL-4Form and Instruction
Form 0920-20QS 13_Patient Health Questionnaire_PHQ-8_GAD-7_HRQoLForm and Instruction
Form 0920-20QS 12_Brief Pain Inventory_BPI.pdfForm and Instruction
Form 0920-20QS 11_PROMIS SF - Fatigue_SD_SRI_PB_PIForm and Instruction
Form 0920-20QS 10_PROMIS Short Forms&SleepForm and Instruction
Form 0920-20QS 9_DSQ_18 selected questionsForm and Instruction
Form 0920-20QS 8_DSQ_26 selected questionsForm and Instruction
Form 0920-20QS 7_DePaul Symptom Questionnaire_DSQForm and Instruction
Form 0920-20QS 6_Multidimensional Fatigue Inventory_MFI-20Form and Instruction
Form 0920-20QS 5_Medical Outcomes Study Short Form 36Form and Instruction
Form 0920-20QS 4_Short Form CDC-SI_ChecklistForm and Instruction
Form 0920-20QS 3_CDC Symptom Inventory (CDC-SI)Form and Instruction
Form 0920-20QS 2_CDC Symptom Inventory (CDC-SI)_Form BForm and Instruction
Form 0920-20QS 1_CDC Symptom Inventory (CDC-SI)_Form AForm and Instruction
Form 0920-20QS Multi-site Clinical Assessment of Myalgic Encephalomyelitis/ Chronic Fatigue Syndrome (MCAM)ATT.3Form and Instruction
0_Description_CogState&Exercise_Testing.docx Supplementary Document
Attachment6.6_Protocol1-4_MCAM_Nova IRB Approval thru 20191022.pdf Supplementary Document
Attachment6.5_Protocol1-4_MCAM_MSBI IRB Approval thru 20191222.pdf Supplementary Document
Attachment6.4_Protocol4_MCAM_NK_WIRB_OMI_Approval thru 20210307.pdf Supplementary Document
Attachment6.3_Protocol3_MCAM_CE_WIRB_OMI Approval thru 20210210.pdf Supplementary Document
Attachment6.2_Protocol2_MCAM_Pediatric_WIRB_OMI_Approval thru 20210710.pdf Supplementary Document
Attachment6.1_Protocol1_MCAM_Adults_WIRB_OMI_Approval thru 20210312.pdf Supplementary Document
Attachment1_Authorizing_Legislation.pdf Supplementary Document
60DAY FRN 080320.pdf Supplementary Document
30DAY FRN 012821.pdf Supplementary Document
OMB_Supporting Statement B_MCAM_20200709.docxSupporting Statement B
Supporting Statement A_MCAM_20210622_clean.docxSupporting Statement A
Multi-site Clinical Assessment of Myalgic Encephalomyelitis/ Chronic Fatigue Syndrome (MCAM)ATT.5 Form and Instruction
Multi-site Clinical Assessment of Myalgic Encephalomyelitis/ Chronic Fatigue Syndrome (MCAM)ATT.5 Form and Instruction
Multi-site Clinical Assessment of Myalgic Encephalomyelitis/ Chronic Fatigue Syndrome (MCAM)ATT.5 Form and Instruction
Multi-site Clinical Assessment of Myalgic Encephalomyelitis/ Chronic Fatigue Syndrome (MCAM)ATT.5 Form and Instruction
Multi-site Clinical Assessment of Myalgic Encephalomyelitis/ Chronic Fatigue Syndrome (MCAM)ATT.5 Form and Instruction
Multi-site Clinical Assessment of Myalgic Encephalomyelitis/ Chronic Fatigue Syndrome (MCAM)ATT.5 Form and Instruction
Multi-site Clinical Assessment of Myalgic Encephalomyelitis/ Chronic Fatigue Syndrome (MCAM)ATT.5 Form and Instruction
Multi-site Clinical Assessment of Myalgic Encephalomyelitis/ Chronic Fatigue Syndrome (MCAM) ATT.4 Form and Instruction
Multi-site Clinical Assessment of Myalgic Encephalomyelitis/ Chronic Fatigue Syndrome (MCAM) ATT.4 Form and Instruction
Multi-site Clinical Assessment of Myalgic Encephalomyelitis/ Chronic Fatigue Syndrome (MCAM) ATT.4 Form and Instruction
Multi-site Clinical Assessment of Myalgic Encephalomyelitis/ Chronic Fatigue Syndrome (MCAM) ATT.4 Form and Instruction
Multi-site Clinical Assessment of Myalgic Encephalomyelitis/ Chronic Fatigue Syndrome (MCAM) ATT.4 Form and Instruction
Multi-site Clinical Assessment of Myalgic Encephalomyelitis/ Chronic Fatigue Syndrome (MCAM) ATT.4 Form and Instruction
Multi-site Clinical Assessment of Myalgic Encephalomyelitis/ Chronic Fatigue Syndrome (MCAM) ATT.4 Form and Instruction
Multi-site Clinical Assessment of Myalgic Encephalomyelitis/ Chronic Fatigue Syndrome (MCAM) ATT.4 Form and Instruction
Multi-site Clinical Assessment of Myalgic Encephalomyelitis/ Chronic Fatigue Syndrome (MCAM) ATT.4 Form and Instruction
Multi-site Clinical Assessment of Myalgic Encephalomyelitis/ Chronic Fatigue Syndrome (MCAM) ATT.4 Form and Instruction
Multi-site Clinical Assessment of Myalgic Encephalomyelitis/ Chronic Fatigue Syndrome (MCAM) ATT.4 Form and Instruction
Multi-site Clinical Assessment of Myalgic Encephalomyelitis/ Chronic Fatigue Syndrome (MCAM) ATT.4 Form and Instruction
Multi-site Clinical Assessment of Myalgic Encephalomyelitis/ Chronic Fatigue Syndrome (MCAM) ATT.4 Form and Instruction
Multi-site Clinical Assessment of Myalgic Encephalomyelitis/ Chronic Fatigue Syndrome (MCAM) ATT.4 Form and Instruction
Multi-site Clinical Assessment of Myalgic Encephalomyelitis/ Chronic Fatigue Syndrome (MCAM)ATT.3 Form and Instruction
Multi-site Clinical Assessment of Myalgic Encephalomyelitis/ Chronic Fatigue Syndrome (MCAM)ATT.3 Form and Instruction
Multi-site Clinical Assessment of Myalgic Encephalomyelitis/ Chronic Fatigue Syndrome (MCAM)ATT.3 Form and Instruction
Multi-site Clinical Assessment of Myalgic Encephalomyelitis/ Chronic Fatigue Syndrome (MCAM)ATT.3 Form and Instruction
Multi-site Clinical Assessment of Myalgic Encephalomyelitis/ Chronic Fatigue Syndrome (MCAM)ATT.3 Form and Instruction
Multi-site Clinical Assessment of Myalgic Encephalomyelitis/ Chronic Fatigue Syndrome (MCAM)ATT.3 Form and Instruction
Multi-site Clinical Assessment of Myalgic Encephalomyelitis/ Chronic Fatigue Syndrome (MCAM)ATT.3 Form and Instruction
Multi-site Clinical Assessment of Myalgic Encephalomyelitis/ Chronic Fatigue Syndrome (MCAM)ATT.3 Form and Instruction
Multi-site Clinical Assessment of Myalgic Encephalomyelitis/ Chronic Fatigue Syndrome (MCAM)ATT.3 Form and Instruction
Multi-site Clinical Assessment of Myalgic Encephalomyelitis/ Chronic Fatigue Syndrome (MCAM)ATT.3 Form and Instruction
Multi-site Clinical Assessment of Myalgic Encephalomyelitis/ Chronic Fatigue Syndrome (MCAM)ATT.3 Form and Instruction
Multi-site Clinical Assessment of Myalgic Encephalomyelitis/ Chronic Fatigue Syndrome (MCAM)ATT.3 Form and Instruction
Multi-site Clinical Assessment of Myalgic Encephalomyelitis/ Chronic Fatigue Syndrome (MCAM)ATT.3 Form and Instruction
Multi-site Clinical Assessment of Myalgic Encephalomyelitis/ Chronic Fatigue Syndrome (MCAM)ATT.3 Form and Instruction
Multi-site Clinical Assessment of Myalgic Encephalomyelitis/ Chronic Fatigue Syndrome (MCAM)ATT.3 Form and Instruction
Multi-site Clinical Assessment of Myalgic Encephalomyelitis/ Chronic Fatigue Syndrome (MCAM)ATT.3 Form and Instruction
Multi-site Clinical Assessment of Myalgic Encephalomyelitis/ Chronic Fatigue Syndrome (MCAM)ATT.3 Form and Instruction
Multi-site Clinical Assessment of Myalgic Encephalomyelitis/ Chronic Fatigue Syndrome (MCAM)ATT.3 Form and Instruction
Multi-site Clinical Assessment of Myalgic Encephalomyelitis/ Chronic Fatigue Syndrome (MCAM)ATT.3 Form and Instruction
Multi-site Clinical Assessment of Myalgic Encephalomyelitis/ Chronic Fatigue Syndrome (MCAM)ATT.3 Form and Instruction
Multi-site Clinical Assessment of Myalgic Encephalomyelitis/ Chronic Fatigue Syndrome (MCAM)ATT.3 Form and Instruction

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202106-0920-021 Existing collection in use without an OMB Control Number 2021-07-07 Approved with change