PRA IC List
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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
Evaluating the Effectiveness of Ebola CARE Plus Program
New
3008
1239
0
Form and Instruction
None
In-person survey of traveler intercepted at the airport
Form and Instruction
None
Telephone survey within 3-5 days after airport survey
Form and Instruction
None
Telephone Survey 2 Days before Last Scheduled Day To Report to Health Department
Form and Instruction
None
Data Request to Health Departments
Form and Instruction
None
Cultural Sensitivity Assessment Tool
Evaluating the Effectiveness of Ebola CARE Program
New
90
44
0
Form and Instruction
0920-0932
Attachment A_Final CARE Program_ECT_Intercept Interview Guide_12 10 14
Form and Instruction
0920-0932
Attachment C_Final CARE Program_ECT_Telephone Interview Guide_12 10 2014
Form and Instruction
0920-0932
Attachment F_Ebola CARE Kit_12 5 14
Evaluating the Effectiveness of Quick Response Codes in Educating Panel Physicians
New
210
71
0
Form and Instruction
None
Statement of Consent for Pre-Knowledge Aptitude Survey
Form and Instruction
None
Statement of Consent for Semi-Structured Aptitude Questionnaire
Other-In-Depth Interview Guide
Evaluation of Adapted Health Education Materials for LEP Spanish-Speakers and Indigenous Migrants
New
480
373
0
Other-Focus Group Script
Other-Focus Group Script
Other-Focus Group Script
Other-Focus Group Script
Form
none
Screener
Evaluation of the TravAlert Electronic Messaging System
New
600
35
0
Other-WORD
Other-WORD
Other-WORD
Other-WORD
Other-WORD
Other-WORD
Total Burden Actually Used for Information Collections Under Currently Approved ICR:
4388
1762
0
Total Burden Currently Requested for Information Collections Under Currently Approved ICR:
0
0
0
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