OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

[NCBDDD] Population-based Surveillance of Outcomes, Needs, and Well-being of Children and Adolescents with Congenital Heart Defects

OMB 0920-1382 ยท HHS/CDC.

OMB 0920-1382

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Follow Up Question for Online Participants (Spanish)Form and Instruction
Follow Up Question for Online Participants (English)Form and Instruction
Congenital Heart Survey To Recognize Outcomes, Needs, and wellbeinG of KIDS (English, phone, MA)Form and Instruction
Form 0920-1382 CH STRONG KIDS (Congenital Heart Survey to Recognize Outcomes, Needs, and wellbeinG of KIDS)Congenital Heart Survey To Recognize Outcomes, Needs, and wellbeinG of KIDS (Spanish, online)Form and Instruction
Form 0920-1382 CH STRONG KIDS (Congenital Heart Survey to Recognize Outcomes, Needs, and wellbeinG of KIDS)Congenital Heart Survey To Recognize Outcomes, Needs, and wellbeinG of KIDS (English, online)Form and Instruction
Form 0920-1382 CH STRONG KIDS (Congenital Heart Survey to Recognize Outcomes, Needs, and wellbeinG of KIDS)Congenital Heart Survey To Recognize Outcomes, Needs, and wellbeinG of KIDS (Somali, paper)Form and Instruction
Form 0920-1382 Congenital Heart Survey To Recognize Outcomes, Needs, and wellbeinG of KIDS (Spanish, paper)Form and Instruction
Form 0920-1382 CH STRONG KIDS (English, paper)Form and Instruction
Form 0920-1382 CH STRONG KIDS (Congenital Heart Survey To Recognize Outcomes, Needs, and wellbeinG of KIDS)Form and Instruction
Change Request Memo - EO14168 Template_updated.docxJustification for No Material/Nonsubstantive Change
Change Request Memo - EO14168 Template_updated.docx Justification for No Material/Nonsubstantive Change
ICR Change request memo_OMB 0920-1382_10.18.2023.docxJustification for No Material/Nonsubstantive Change
ICR Change request memo_OMB 0920-1382_10.18.2023.docx Justification for No Material/Nonsubstantive Change
Att 35_MA Participant Info Sheet_May23.docxSupplementary Document
Att 35_MA Participant Info Sheet_May23.docx Supplementary Document
Att 34_MA Intro_May23.docxSupplementary Document
Att 34_MA Intro_May23.docx Supplementary Document
Att 33_MA Initial Letter_May23.docxSupplementary Document
Att 33_MA Initial Letter_May23.docx Supplementary Document
Att 31_Opt-out postcard_May23.docxSupplementary Document
Att 30_Somali Intro_May23.docxSupplementary Document
Att 30_Somali Intro_May23.docx Supplementary Document
Att 29_Somali Participant Info Sheet_May23.docxSupplementary Document
Att 29_Somali Participant Info Sheet_May23.docx Supplementary Document
Att 26_ThankYouLetter Somali_May23.docxSupplementary Document
Att 26_ThankYouLetter Somali_May23.docx Supplementary Document
ICR Change request memo.docxJustification for No Material/Nonsubstantive Change
ICR Change request memo.docx Justification for No Material/Nonsubstantive Change
Att 22_References_updated_clean.docxSupplementary Document
Att 22_References_updated_clean.docx Supplementary Document
Att 21_Postcards_May23.docxSupplementary Document
Att 21_Postcards_May23.docx Supplementary Document
Att 20_Initial Letter_May23.docxSupplementary Document
Att 20_Initial Letter_May23.docx Supplementary Document
Att 19_ Survey Question Crosswalk_TC.xlsxSupplementary Document
Att 19_ Survey Question Crosswalk_TC.xlsx Supplementary Document
Att 18_Spanish Intro_May23.docxSupplementary Document
Att 18_Spanish Intro_May23.docx Supplementary Document
Att 17_English Intro_May23.docxSupplementary Document
Att 17_English Intro_May23.docx Supplementary Document
Att 16_Spanish Participant Info Sheet.docxSupplementary Document
Att 16_Spanish Participant Info Sheet.docx Supplementary Document
Att 15_English Participant Info Sheet_May23.docxSupplementary Document
Att 15_English Participant Info Sheet_May23.docx Supplementary Document
Att 14_PIA_May23.pdfSupplementary Document
Att 14_PIA_May23.pdf Supplementary Document
Att 13_Research Determination.pdfSupplementary Document
Att 13_Research Determination.pdf Supplementary Document
Att 12_ThankYouLetter Spanish.docxSupplementary Document
Att 12_ThankYouLetter Spanish.docx Supplementary Document
Att 11_ThankYouLetter English.docxSupplementary Document
Att 11_ThankYouLetter English.docx Supplementary Document
Att 3_List of Sites_May23.docxSupplementary Document
Att 3_List of Sites_May23.docx Supplementary Document
Att 2_60 Day OMB.pdfSupplementary Document
Att 2_60 Day OMB.pdf Supplementary Document
Att 1_Auth Legislation.pdfSupplementary Document
Att 1_Auth Legislation.pdf Supplementary Document
SupportingStatementPartB full_clean.docxSupporting Statement B
SupportingStatementPartB full_clean.docxSupporting Statement B
SSA_07132022_updated_clean.docxSupporting Statement A
SSA_07132022_updated_clean.docxSupporting Statement A
CH STRONG KIDS (Congenital Heart Survey To Recognize Outcomes, Needs, and wellbeinG of KIDS) Form and Instruction
CH STRONG KIDS (Congenital Heart Survey To Recognize Outcomes, Needs, and wellbeinG of KIDS) Form and Instruction
CH STRONG KIDS (Congenital Heart Survey To Recognize Outcomes, Needs, and wellbeinG of KIDS) Form and Instruction
CH STRONG KIDS (Congenital Heart Survey To Recognize Outcomes, Needs, and wellbeinG of KIDS) Form and Instruction
CH STRONG KIDS (Congenital Heart Survey To Recognize Outcomes, Needs, and wellbeinG of KIDS) Form and Instruction
CH STRONG KIDS (Congenital Heart Survey To Recognize Outcomes, Needs, and wellbeinG of KIDS) Form and Instruction
CH STRONG KIDS (Congenital Heart Survey To Recognize Outcomes, Needs, and wellbeinG of KIDS) Form and Instruction
CH STRONG KIDS (Congenital Heart Survey To Recognize Outcomes, Needs, and wellbeinG of KIDS) Form and Instruction
CH STRONG KIDS (Congenital Heart Survey To Recognize Outcomes, Needs, and wellbeinG of KIDS) Form and Instruction

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202503-0920-005 No material or nonsubstantive change to a currently approved collection 2025-03-28
202310-0920-008 No material or nonsubstantive change to a currently approved collection 2023-10-19 Approved without change
202305-0920-011 No material or nonsubstantive change to a currently approved collection 2023-05-26 Approved without change
202206-0920-002 New collection (Request for a new OMB Control Number) 2022-07-22 Approved with change