OMB control number

The Green Housing Study

OMB 0920-0906 · HHS/CDC.

OMB 0920-0906

Latest Forms, Documents, and Supporting Material

Document Name
Time / Activity Form - for Mothers / Primary Caregivers Form
Form 0920-0906 Illness Checklist Form and Instruction
Form 0920-0906 Time / Activity Form - for Children Form and Instruction
Form 0920-0906 Six and Twelve Month Follow-up Questionnaire - for Environment Form and Instruction
Form 0920-0906 Six and Twelve Month Follow-up Questionnaire - for Children With Asthma Form and Instruction
Form 0920-0906 Three and Nine Month Follow - up Phone Contact (Environment) Form and Instruction
Form 0920-0906 Monthly Text Messages Children with Asthma Form and Instruction
Form 0920-0906 Baseline Questionnaire for Children with Asthma Form and Instruction
Form 0920-0906 Mothes/Primary Caregivers of Enrolled Children Baseline Questionnaire - Demographics Form and Instruction
Form 0920-0906 Mothers/Primary Caregivers of Enrolled Children Baseline Questionnaire( Part 2 - Home Characteristics) Form and Instruction
Form 0920-0906 Mothers/Primary Caregivers of Enrolled Children Baseline Questionnaire(Home Characteristics) Form and Instruction
Form 0920-0906 Mothers/Primary Caregivers of Children with Asthma Form and Instruction
Appndx_E_ Recruitment flyer prototype.doc Supplementary Document
Appndx_C GHS Protocol.doc Supplementary Document
Supporting Statement B final.docx Supporting Statement B
Supporting Statement A final.docx Supporting Statement A
Recruitment Flyer (Cincinnati) - ENGLISH.doc Supplementary Document
Recruitment Flyer (Boston) -SPANISH.doc Supplementary Document
Recruitment flyer (Boston) - ENGLISH.doc Supplementary Document
Recruitment Flyer (Boston) - CHINESE.doc Supplementary Document
Consent Form - Clean final version (with edits from Harvard's IRB) SPANISH version Dec 4 2011.doc Supplementary Document
Consent Form (Boston) Chinese version - November 30, 2011.doc Supplementary Document
Assent Form - SPANISH - November 30, 2011.doc Supplementary Document
Assent Form (Boston) Chinese version - November 30, 2011.doc Supplementary Document
Request for Nonsubstantive change - The Green Housing study ICR# 0920--0906 (Translations).pdf Justification for No Material/Nonsubstantive Change
Time Activity (Mother- Primary Caregiver) SPANISH - November 30, 2011.doc Supplementary Document
Time Activity(Mother- Primary Caregiver) Chinese version - November 30, 2011.doc Supplementary Document
Appendix D9 - Illness Checklist (Children 7-12 years) 5-10-11 SPANISH.docx Supplementary Document
Appendix D9 - Illness Checklist (Children 7-12 years) 5-10-11_CHN7.30.2011.doc Supplementary Document
Appendix D10 - Time Activity (Children 7-12 yrs) 5-5-11 SPANISH.docx Supplementary Document
Appendix D10 - Time Activity (Children 7-12 yrs) 5-5-11_CHN7.14.2011.doc Supplementary Document
Appendix D8 -6 and 12-mo (Children 7-12 years) 5-10-11 SPANISH.docx Supplementary Document
Appendix D8 -6 and 12-mo (Children 7-12 years) 5-10-11_CHN7.31.2011.doc Supplementary Document
6 & 12-mo Follow-up (Environment) SPANISH - November 30, 2011.doc Supplementary Document
6 & 12-mo Follow-up (Environment) Chinese version - November 30, 2011.doc Supplementary Document
Appendix D5 -3 and 9-m (Children with asthma 7-12 years) 5-10-11 SPANISH.docx Supplementary Document
Appendix D5 -3 and 9-m (Childrenwith asthma 7-12 years) 5-10-11_CHN7.31.2011.doc Supplementary Document
Appendix D6 - Text Messages (Children with Asthma 7-12) 5-5-11 SPANISH.docx Supplementary Document
Appendix D6 - Text Messages(Children with Asthma 7-12) 5-5-11_CHN7.30.2011.doc Supplementary Document
Appendix D4 - Baseline (for Children 7-12 years) 5-10-11 SPANISH.docx Supplementary Document
Appendix D4 - Baseline (for Children 7-12 years) 5-10-11_CHN7.13.2011.doc Supplementary Document
Appendix D3 - Baseline ( Demographics) 5-12-11 SPANISH.docx Supplementary Document
Appendix D3 - Baseline ( Demographics) 5-12-11_CHN8.18.2011.doc Supplementary Document
Baseline (Part 2 Home Characteristics) SPANISH - November 30, 2011.doc Supplementary Document
Baseline (Part 2 Home Characteristics) Chinese version - November 30, 2011.doc Supplementary Document
Baseline (Home Characteristics) SPANISH - November 30, 2011.doc Supplementary Document
Baseline (Home Characteristics) Chinese version - November 30, 2011.doc Supplementary Document
Appendix D12 - Screening questionnaire 5-11-11 SPANISH.docx Supplementary Document
Appendix D12 - Screening questionnaire 5-11-11_CHN7.9.2011.doc Supplementary Document
Time / Activity Form - for Mothers / Primary Caregivers Form
Illness Checklist Form and Instruction
Time / Activity Form - for Children Form and Instruction
Six and Twelve Month Follow-up Questionnaire - for Environment Form and Instruction
Six and Twelve Month Follow-up Questionnaire - for Children With Asthma Form and Instruction
Three and Nine Month Follow - up Phone Contact (Environment) Form and Instruction
Monthly Text Messages Children with Asthma Form and Instruction
Baseline Questionnaire for Children with Asthma Form and Instruction
Mothes/Primary Caregivers of Enrolled Children Baseline Questionnaire - Demographics Form and Instruction
Mothers/Primary Caregivers of Enrolled Children Baseline Questionnaire( Part 2 - Home Characteristics) Form and Instruction
Mothers/Primary Caregivers of Enrolled Children Baseline Questionnaire(Home Characteristics) Form and Instruction
Mothers/Primary Caregivers of Children with Asthma Form and Instruction

All Historical Document Collections

201408-0920-008 Approved without change	Extension without change of a currently approved collection	2014-09-04
201112-0920-013 Approved without change	No material or nonsubstantive change to a currently approved collection	2011-12-20
201107-0920-004 Approved with change	New collection (Request for a new OMB Control Number)	2011-07-20