[OPHDST] Generic Clearance for the Collection of Minimal Data Necessary for Case Data During an Emergency Response

ICR 202503-0920-023

OMB: 0920-1447

Federal Form Document

Forms and Documents

Document Name	Status
EO14168 CRM MDN.docx Justification for No Material/Nonsubstantive Change	2025-03-20
EO14168 CRM MDN.docx Justification for No Material/Nonsubstantive Change	2025-03-20
SSA_MDN Generic ICR_Updated.docx Supporting Statement A	2024-09-13
SSA_MDN Generic ICR_Updated.docx Supporting Statement A	2024-09-13
Att 9 - PRA Burden Statement Screenshot.pdf Supplementary Document	2024-09-12
Att 9 - PRA Burden Statement Screenshot.pdf Supplementary Document	2024-09-12
Att 8 - Research Determination.pdf Supplementary Document	2024-09-12
Att 8 - Research Determination.pdf Supplementary Document	2024-09-12
Att 7 - DCIPHER PIA.pdf Supplementary Document	2024-09-12
Att 7 - DCIPHER PIA.pdf Supplementary Document	2024-09-12
Att 6 - Response Specific Data Element Form.docx Supplementary Document	2024-09-12
Att 6 - Response Specific Data Element Form.docx Supplementary Document	2024-09-12
Att 5 - MDN for Case Data Form_Updated.docx Supplementary Document	2024-09-13
Att 5 - MDN for Case Data Form_Updated.docx Supplementary Document	2024-09-13
Att 4 - List of Non MDN GenV2 Data Elements.xlsx Supplementary Document	2024-09-12
Att 4 - List of Non MDN GenV2 Data Elements.xlsx Supplementary Document	2024-09-12
List of MDN for Case Data 032025.xlsx Supplementary Document	2025-03-20
List of MDN for Case Data 032025.xlsx Supplementary Document	2025-03-20
Att 2a - 60 day FRN.pdf Supplementary Document	2024-09-12
Att 2a - 60 day FRN.pdf Supplementary Document	2024-09-12
Att 1 - Authorizing Legislation 42 USC 241.pdf Supplementary Document	2024-09-12
Att 1 - Authorizing Legislation 42 USC 241.pdf Supplementary Document	2024-09-12
SSB_MDN Generic ICR.docx Supporting Statement B	2024-09-12
SSB_MDN Generic ICR.docx Supporting Statement B	2024-09-12