№ files_lp_4_process_1_39616
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This document is a checklist for requesting funding for environmental modifications to a home to ensure the health, welfare, and safety of an individual or enable greater independence.
Year:
2010
Region / City:
Connecticut
Topic:
Environmental Modification
Document Type:
Checklist
Organization / Institution:
Department of Developmental Services (DDS)
Author:
Unknown
Target Audience:
Individuals requiring environmental modifications
Period of validity:
Ongoing (subject to funding approval)
Approval Date:
08/24/2010
Date of changes:
N/A
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Year:
2021
Region / City:
London
Topic:
Digital Document Solutions
Document Type:
Agreement
Organisation / Institution:
NHS London Procurement Partnership (LPP)
Author:
NHS LPP
Target Audience:
Contracting Authorities
Validity Period:
Not specified
Approval Date:
Not specified
Amendment Date:
Not specified
Year:
2016
Region / city:
United States
Topic:
Healthcare Services, Electronic Visit Verification
Document type:
Guidelines
Organization / institution:
Department of Developmental Services (DDS), Department of Social Services, Gainwell Technology, Sandata Technologies
Author:
Department of Developmental Services (DDS)
Target audience:
DDS providers
Period of validity:
N/A
Approval date:
N/A
Date of amendments:
N/A
Year:
2010
Note:
Region / City
Topic:
Licensure and Certification
Document Type:
Manual
Organization:
Office of Quality Enhancement
Note:
Year
Organization / Institution:
Department of Developmental Services (DDS)
Target Audience:
Participants of the DDS DSW to LPN Certificate Program
Year:
2022
Region / City:
Lewisville, TX
Topic:
Education, Scholarships
Document Type:
Scholarship Application
Organization:
Cups Jars Vessels
Author:
Not specified
Target Audience:
High school seniors planning to attend college or university
Period of Validity:
Applications accepted February 1, 2022 – March 31, 2022
Approval Date:
Not specified
Date of Changes:
Not specified
Note:
Date of Request
Intake Specialist:
Pamela Daniels
Type of Request:
☐Initial ☐ Re-opening
Home:
____ -____ -_____
Work:
____ - _____ -____
Cellphone:
____ - -
Message:
--______
Race:
☐ Asian ☐Black ☐Hispanic ☐Bi-racial ☐Pacific Islander ☐ Caucasian ☐Unspecified ☐Other
Diagnosis:
☐ ID ☐CP ☐Epilepsy ☐Autism ☐Spina Bifida ☐Developmentally Delayed ☐Downs ☐Other
Year:
____________
Social Security Number:
____ - _____ - _____
Legal Status:
☐POA ☐Guardian ☐Legal Custodian ☐Courted Ordered ☐Self
Services Requested:
☐Waiver ☐Group Home| Apartments ☐ICF ☐HDC☐Psychological Evaluation ☐Respite ☐Int. Support ☐Special needs
Assigned PASSE:
☐Empower ☐Summit☐ AR Total Care
Referral Source:
☐ICF ☐Nursing Home ☐ASH ☐Group Home| Apartment☐DCFS ☐APS ☐Community ☐CHC (Title V) ☐PASSE ☐Other
☐ Contact Phone Number:
____ - ____ - ____
Additional Information:
☐ 10 days: ☐ 30 days:☐ 45 days:
Note:
Year
Context:
Checklist outlining the required documents and statements for reviewing related party transactions within the DDS Ethics Committee.
Year:
2020
Region / City:
Connecticut, USA
Subject:
Electronic Visit Verification (EVV) implementation
Document Type:
Official memo / guidance
Organization:
Connecticut Department of Developmental Services (DDS)
Author:
DDS Administration
Target Audience:
DDS service providers
Effective Period:
January 1, 2021, onwards
Deadline for Response:
June 30, 2020
Contact Emails:
[email protected]
Systems Mentioned:
SAM system, DDS EVV Portal, Sandata Mobile Connect
Procedure No.:
I.F.PR.007a
Issue Date:
June 30, 2021
Effective Date:
June 30, 2021
Section:
Human Rights and Legal Responsibilities
Approved by:
Jordan A. Scheff
Jurisdiction:
Connecticut, USA
Applicable Entities:
Department of Developmental Services, DDS qualified providers, DDS contractors, volunteer organizations
Purpose:
Implementation and access procedures for the DDS Abuse and Neglect Registry
Definitions Included:
Yes, including examples of abuse and neglect
Confidentiality:
Registry access restricted to authorized personnel
Target Audience:
DDS employees, employers licensed or funded by DDS, volunteer organizations
Legal Basis:
Sections 17a-247a through 17a-247e of the Connecticut General Statutes
Implementation Responsibility:
DDS Abuse and Neglect Registry Administrator
Access Method:
Online Pre-Employment Inquiry System
Year:
2014
Organization:
U.S. Department of Veterans Affairs
Office:
Strategic Acquisition Center
Type of Document:
Request for Information (RFI) Amendment
Solicitation Number:
VA119-14-I-0190
Amendment Number:
A00001
Response Deadline:
June 27, 2014, 12:00 PM EST
Contact Person:
Lance Belcher
Contact Email:
[email protected]
Additional Contact:
Shirelle Taliaferro, [email protected]
Survey Management:
Monterey Consultants, Inc.
Survey URL:
www.mcix.com/ECOMM
Location of Performance:
Fredericksburg, VA
Year:
2017
Region / City:
North Little Rock, AR, USA
Type of Document:
Contract Amendment / Modification
Administered By:
Department of Veterans Affairs, Chief, A&MM (90C/NLR)
Issued By:
Department of Veterans Affairs, Central Arkansas Veterans HCS
Contract Number:
598-17-105
Solicitation Number:
VA256-17-B-0485
Effective Date:
08-25-2017
Purpose:
Add specifications and drawings, update bid schedule
Project Title:
Correct Legionella Problems with Modifications to the Water Distribution System
Delivery Schedule:
See attached documents
Contractor:
[Name not specified in the document]
Year:
2013
Region / City:
Hines, IL, United States
Document Type:
Contract Amendment / Modification
Issuing Agency:
Department of Veterans Affairs
Contracting Officer:
Patricia Gibson-Anderson
Contractor:
Not specified
Effective Date:
August 19, 2013
Proposals Due Date:
September 11, 2013
Subject:
Great Lakes TCA Site Visit Responses and Documentation
Attached Documents:
Questions and answers from TCA site visit August 30, 2013; TCA May–July 2013; TCA detailed formulary; 1-dimensional barcode
Year:
2017
Region / City:
Eatontown, NJ
Subject:
Technology Acquisition
Document Type:
Performance Work Statement (PWS)
Organization / Institution:
Department of Veterans Affairs
Author:
Not specified
Target Audience:
Contractors and vendors in technology and IT services
Period of Validity:
Not specified
Approval Date:
May 19, 2017
Date of Changes:
Not specified
End Date:
Not specified
Additional Information:
Task Order PWS Version 1.0
Year:
2023
Region / city:
Durham
Topic:
Public Rights of Way, Footpath Diversion
Document Type:
Order
Issuing Authority:
Secretary of State for Environment, Food and Rural Affairs
Author:
Claire Tregembo BA(Hons) MIPROW
Target Audience:
Local Authorities, Stakeholders in Urban Planning, Public Rights of Way Users
Effective Period:
Not specified
Approval Date:
16 January 2026
Modification Date:
17 November 2023
Year:
2013
Region / City:
Washington, D.C.
Topic:
Foreign-Trade Zones (FTZ) Application
Document Type:
Instruction Sheet
Agency / Institution:
U.S. Department of Commerce, International Trade Administration
Author:
FTZ Staff
Target Audience:
Corporations and grantees applying for FTZ designation
Period of Action:
N/A
Approval Date:
March 2013
Amendment Date:
N/A
Note:
Study Summary 1.1 Please provide a brief summary of the study in the table below. A complete description of the study with detailed information should be provided in the body of the protocol. For sections not applicable to the study, mark them as N/A. Study Title Study Design Primary Objective/Purpose Secondary Objective(s)/Purposes Research Intervention(s) ClinicalTrials.gov NCT # Study Population Sample Size Study Duration for individual subjects Study Specific Abbreviations/ Definitions
Background 3.1 Provide the scientific or scholarly background for, rationale for, and significance of the research based on the existing literature and how will it add to existing knowledge. :
this section should be limited to only information directly related to the research questions and objectives. Do not include your full dissertation proposal. 3.2 Describe any relevant preliminary data (e.g. pilot data).
Procedures Involved 5.1 Describe and explain the study design. 5.2 Please select the methods that will be employed in this study (select all that apply):
☐ Audio/Video Recording ☐ Psychophysiological Recording ☐ Behavioral Interventions ☐ Record Review - Educational ☐ Behavioral Observations and Experimentations ☐ Record Review - Employee ☐ Deception ☐ Record Review- Medical ☐ Focus Groups ☐ Record Review - Other ☐ Interviews ☐ Specimen Collection or Analysis ☐ Investigational Medical Device – (e.g. Medical Mobile Applications) ☐ Surveys and/or Questionnaires ☐Psychometric Testing ☐ Other Social-Behavioral Procedures Provide a description of all research procedures being performed and when they are performed. (Upload any surveys, questionnaires, interview scripts, focus group scripts, debriefing scripts, psychometric tests, stimulus materials, intervention manuals, and data collection forms on the Local Site Documents page in the IRB application.) 5.3 Describe the procedures or interventions that are going to be conducted as part of the research project, but that would have been conducted anyway, even if the research was not occurring (i.e. standard of care procedures, activities that would occur in a classroom). 5.4 Describe the procedures performed to lessen the probability or magnitude of risks of items selected in 5.2.5. 5 If accessing or collecting existing data, describe: The data that will be collected during the study (e.g. demographics, medical history, etc.). Attach the data capture sheet(s) on the Local Site Documents page in the IRB application. How the data will be obtained, including how you have the authority to access the data. The source or location of the data (e.g. USF Epic, TGH Epic, Hillsborough County School records, CANVAS records, publicly available databases, etc.). 5.6 If collecting and/or analyzing biological specimens, describe: How the biological specimens will be or have been collected. How the biological specimens will be stored. How long the biological specimens will be stored. How the biological specimens will be used. The laboratories that will be used. Whether the collected biological specimens will undergo genetic testing. If so, indicate if this study is part of a Genome Wide Association Study (GWAS) and whether the data will be forwarded to the NIH dbGaP. 5.7 If there are plans for long-term follow-up (once all research related procedures are complete), what data will be collected during this period.
Data and Specimen Storage for Future Research 6.1 If data or specimens will be banked for future research studies, describe where the data or specimens will be stored, how long it/they will b:
the process to request a release, approvals required for release, who can obtain data or specimens, and the data to be provided with specimens.
Year:
2014
Region / City:
All States
Subject:
Loan Modification Agreement
Document Type:
Legal Agreement
Author:
Fannie Mae
Target Audience:
Lenders, Borrowers
Effective Period:
Ongoing
Approval Date:
1/01 (rev. 4/14)
Modification Date:
6/06 (posted 10/3/06)
Context:
A detailed legal document outlining the requirements and amendments for modifying a loan agreement in accordance with various conditions and government programs.
Note:
Year
Subject:
Medicaid
Document Type:
Notice
Organization:
NCF/DHB
Target Audience:
Caseworkers, County Staff
Context:
This document provides guidance on generating, handling, and updating the DSS-8110 Notice of Modification, Termination, or Continuation of Public Assistance in the NC FAST system.
Note:
Year
Subject:
Family Law, Divorce, Custody, Child Support, Court Orders
Document Type:
Instructional Guide
Authority / Institution:
Wisconsin Court System
Target Audience:
Individuals seeking to modify court orders related to family law