[NCEZID] School-Based Active Surveillance (SBAS) of Myalgic Encephalomyelitis/Chronic Fatigue Syndrome Among Schoolchildren: Phase-2 of the National Roll-Out

OMB 0920-1396

Latest Forms, Documents, and Supporting Material

Document Name
Form 0920-22HN School District Feedback Form Form and Instruction
Form 920-22HN Webinar 1 Feedback Form Form and Instruction
Form 0920-22HN Question Guide for Face-to-Face Evaluation Interviews Form and Instruction
Form 0920-22HN Site Baseline Survey Form and Instruction
Form 0920-22HN Demographic Data Collection Points Form and Instruction
Form 0920-22HN Electronic Platform Quarterly Chronic Absenteeism Data Reporting Form Form and Instruction
2022-26886- 30DAY FRN PUBLISHED 12122022.pdf Supplementary Document
Attachment I_SBAS_Consent Form and Authorization for School District Representatives.docx Supplementary Document
Attachment J_SBAS_Consent Form and Authorization for School Nurses.docx Supplementary Document
Attachment H_SBAS_NASN IRB Exempt Determination Notice.pdf Supplementary Document
Attachment G_SBAS_Privacy Act Checklist Active Surveillance School Age Children.docx Supplementary Document
Supporting Statement B_SBAS.docx Supporting Statement B
Supporting Statement A_SBAS.docx Supporting Statement A
School District Feedback Form Form and Instruction
Webinar 1 Feedback Form Form and Instruction
Question Guide for Face-to-Face Evaluation Interviews Form and Instruction
Site Baseline Survey Form and Instruction
Demographic Data Collection Points Form and Instruction
Electronic Platform Quarterly Chronic Absenteeism Data Reporting Form Form and Instruction