[NCEZID] CryptoNet Case Report Form

OMB 0920-1360

Latest Forms, Documents, and Supporting Material

Document Name
CryptoNet Case Report Form Form and Instruction
CryptoNet Case Report Form Form and Instruction
Change Request Memo - EO14168 Template_CryptoNet_3.27.2025_FINAL.docx Justification for No Material/Nonsubstantive Change
Change Request Memo - EO14168 Template_CryptoNet_3.27.2025_FINAL.docx Justification for No Material/Nonsubstantive Change
Att E2_Privacy Impact Assessment.pdf Supplementary Document
Att E2_Privacy Impact Assessment.pdf Supplementary Document
Att E_Privacy Impact Assessment_DCIPHER SaaS.pdf Supplementary Document
Att E_Privacy Impact Assessment_DCIPHER SaaS.pdf Supplementary Document
Att D_Human Subjects Determination.pdf Supplementary Document
Att D_Human Subjects Determination.pdf Supplementary Document
Att B_ Published Federal Register Notice.pdf Supplementary Document
Att B_ Published Federal Register Notice.pdf Supplementary Document
Att A_Section 301 of the Public Health Service Act (42 USC 241) (1) (1) (1).pdf Supplementary Document
Att A_Section 301 of the Public Health Service Act (42 USC 241) (1) (1) (1).pdf Supplementary Document
SSB_CryptoNet_2024 revision package - CLEAN.docx Supporting Statement B
SSB_CryptoNet_2024 revision package - CLEAN.docx Supporting Statement B
SSA_CryptoNet_2024 revision package_CLEAN_final.docx Supporting Statement A
SSA_CryptoNet_2024 revision package_CLEAN_final.docx Supporting Statement A
CryptoNet Case Report Form Form and Instruction
CryptoNet Case Report Form Form and Instruction

All Historical Document Collections

202504-0920-005	No material or nonsubstantive change to a currently approved collection	2025-05-01
202412-0920-011	Revision of a currently approved collection	2025-01-10
202106-0920-015 Approved without change	New collection (Request for a new OMB Control Number)	2021-08-02