OMB control number

A Longitudinal Examination of Mental and Physical Health among Police Associated with COVID–19

OMB 0920-1350 · HHS/CDC.

OMB 0920-1350

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form 0920- Att D18- Serological SampleForm
Form 0920- Att D17- Civil UnrestForm
Form 0920- Att D16- COVID19- Round 2Form
Form 0920- Att D15- COVID- Round 1Form
Form 0920- Att D14- Beck HopelessnessForm
Form 0920- Att D13- Beck DepressionForm
Form 0920- Att D12- Pittsburgh Sleep Quality IndexForm
Form 0920- Att D11- Beck AnxietyForm
Form 0920 Att D10- Connor-Davidson Resiliency ScaleForm
Form 0920 Att D9- PTSDForm
Form 0920 Att D8- Fatigue ScaleForm
Form 0920- Att D7- Maslach BurnoutForm
Form 0920 Att D6- Org SupportForm
Form 0920- Att D5_Brief CopeForm
Form 0920- Att D4- Centers for Epidemiologic Studies Depression ScaleForm
Form 0920- Att H1_Eligibility ScreeningForm
Form 0920- Att D3- Spielberger Stress SurveyForm
Form 0920 Att D2- Medical HistoryForm
Form 0920 Att D1- Personal HistoryForm
Change Request Memo 12OCT2021.docx Justification for No Material/Nonsubstantive Change
Appendix F2 NIOSH HSRB_non_exempt.pdf Supplementary Document
Appendix F1 UB IRB.docx Supplementary Document
Appendix E UB Consent Form.docx Supplementary Document
Appendix C Examination Components.docx Supplementary Document
Appendix B _60dy2121CG.FRN.pdf Supplementary Document
Appendix A.docx Supplementary Document
Statement B_revised 092921.docxSupporting Statement B
Statement A_revised 92921.docxSupporting Statement A
Att D19- Salivary Cortisol collection Other-
Att D18- Serological Sample Form
Att D17- Civil Unrest Form
Att D16- COVID19- Round 2 Form
Att D15- COVID- Round 1 Form
Att D14- Beck Hopelessness Form
Att D13- Beck Depression Form
Att D12- Pittsburgh Sleep Quality Index Form
Att D11- Beck Anxiety Form
Att D10- Connor-Davidson Resiliency Scale Form
Att D9- PTSD Form
Att D8- Fatigue Scale Form
Att D7- Maslach Burnout Form
Att D6- Org Support Form
Att D5_Brief Cope Form
Att D4- Centers for Epidemiologic Studies Depression Scale Form
Att H1_Eligibility Screening Form
Att H_Introduction Letter Other-word
Att G_Letter of Invitation Other-WORD
Att D3- Spielberger Stress Survey Form
Att D2- Medical History Form
Att D1- Personal History Form

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202110-0920-005 No material or nonsubstantive change to a currently approved collection 2021-10-12 Approved without change
202106-0920-006 New collection (Request for a new OMB Control Number) 2021-07-29 Approved with change