Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Assessment of "The Refugee Journey to Wellbeing" Exhibit at the 2016 American Society of Tropical Medicine and Hygiene (ASTMH) Conference, Atlanta, GA New 350 27 0 Form and Instruction 0920-17BL Final Data Collection Instrument #1
Form and Instruction 0920-17BL Data Collection Instrument # 2
Form and Instruction 0920-17BL Final Data Collection Instrument #3 ASTHM Exhibit v3 0 smm
Assessment of Pilot CDC Zika Text Message Service New 1000 83 0 Form and Instruction NA CDC Zika Text Message Service Survey
Customer Satisfaction Survey for CDC AR Isolate Bank New 95 16 0 Other-WORD
Customer Satisfaction Survey for CDC AR Isolate Bank Year 2 New 405 68 0 Form none AR Isolate Bank Survey
Customer Satisfaction Survey for Soliciting Feedback on NICE Network Nursing Infection Prevention and Control In-Person Conference Sessions New 600 50 0 Form and Instruction NA NICE Network Follow-Up Survey
EDN User Assessment New 1003 251 0 Form none EDN User Survey - screenshots
Form none EDN User Survey - word
Ebola Global Migration Task Force (GMTF) Response After-Action Report (AAR) Survey New 220 73 0 Form and Instruction NA 2014-2015 Global Migration Task Force (GMTF) Ebola response After Action Report Survey
Formative Evaluation of CDC Autocidal Gravid Traps in Puerto Rico New 60 60 0 Form and Instruction NA Focus Group Discussion Guide CDC-AGO Puerto Rico
Formative Evaluation of Zika Prevention Kits for Pregnant Women in Puerto Rico New 70 18 0 Form and Instruction NA Intercept Interview of Pregnant Women in Puerto Rico
LLS Class of 2016 Laboratory Quality Survey New 600 100 0 Form and Instruction 0920-1071 LLS Class of 2016 Laboratory Quality Survey
Mosquito Bite Prevention Kit Feedback New 14000 1633 0 Form none Mosquito Prevention Kit Feedback - English
Form none Mosquito Prevention Kit Feedback - Spanish
Myalgic Encephalomyelitis (ME)/Chronic Fatigue Syndrome (CFS) Healthcare Provider Perspective Interview New 70 23 0 Form and Instruction NA MECFS HP - Screener
Form and Instruction NA MECFS HP - Individual Interview
Form and Instruction NA MECFS HP - Dyadic Interview
Total Burden Actually Used for Information Collections Under Currently Approved ICR: 18473 2402 0  
Total Burden Currently Requested for Information Collections Under Currently Approved ICR: 0 0 0  
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