Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
2019 Updated B Reader Certification Examination New 50 200 0 Other-WORD
Other-Screenshots
Antibiotic Stewardship in Hospitals Assessment New 80 70 9000 Form none
Form none
Assessment of the Zika Care Connect Program New 4080 260 0 Form and Instruction 0920-1154
Form and Instruction 0920-1154
Form and Instruction 0920-1154
Form and Instruction 0920-1154
Form and Instruction 0920-1154
BRFSS Feasibility Experiment for State-specific Module Data Collection in Cell Phone Samples New 4500 1500 0 Form and Instruction 0920-1154
BRFSS Preliminary Experiment for Sample and Mode New 13500 3375 0 Other-WORD
Behavioral Determinants of Community Hand Hygiene Behavior: A Formative Qualitative Evaluation New 520 113 0 Form 0920-1154
Form and Instruction 0920-1154
CDC's Inside Knowledge Campaign: 2018 Focus Group Research and Testing with the General Public and Hispanic Audiences New 576 720 18821 Form and Instruction n/a
Form and Instruction n/a
Form and Instruction n/a
Form and Instruction n/a
Clinician Preferences for CDC Clinical Guidelines New 25 25 0 Other-WORD
Other-WORD
Core Elements of Antimicrobial Stewardship in Nursing Homes New 992 496 0 Form none
Determination of Attitudes Regarding Noise in Construction New 68 82 2269 Form and Instruction 0920-1154
Form and Instruction 0920-1154
Form and Instruction 0920-1154
Form and Instruction 0920-1154
Disability and Health Data System Evaluaton Survey New 2000 167 0 Form and Instruction 0920-1154
Ethnicity & Race: Messaging to Improve Patient-Provider Communication and Engagement on Risks of Alcohol Use During Pregnancy New 900 307 0 Form and Instruction 0920-1154
Form and Instruction 0920-1154
Form and Instruction 0920-1154
Form 0920-1154
Other-Screenshots
Other-WORD
Instruction
Other-WORD
Other-Screenshots
Other-Screenshots
FORMATIVE RESEARCH TO DEVELOP ZIKA TOOLS FOR HEALTHCARE PROVIDERS New 4422 835 0 Form 0920-1154
Other-Focus Group Discussion Guide - OB-GYN/PEDS/MIDWIVES/NPs
Form and Instruction 0920-1154
Form and Instruction 0920-1154
Federal Select Agent Program eFSAP Feedback Survey New 528 88 0 Form 0920-1154
Form 0920-1154
Focus Groups of US Adults KAP of Foodborne Disease Outbreaks and Illness Prevention New 804 157 0 Form and Instruction none
Form and Instruction none
Other-Moderator Guide
Other-Moderator Guide with Interview
Formative Assessment of Barriers to Transition from Adolescent to Adult for Individuals with Congenital Heart Defects New 1100 367 0 Form none
Formative Assessment of the Information Needs to Prevent Skin Cancer Among Spanish speaking Outdoor Workers New 28 42 0 Other-Focus Group Guide
Formative Assessment of the Information Needs to Prevent Work-related Musculoskeletal Disorders and Falls among Aging Retail Workers New 54 81 0 Other-Focus group guide
Other-Focus group guide
Other-Focus group guide
Formative Evaluation for Shigellosis Sexual Health Materials for Men who have Sex with Men New 445 79 0 Form none
Other-Moderator's Guide
Formative Research for Sepsis and Antibiotic Use Campaigns New 750 208 0 Form none
Form none
Form none
Form none
Form none
Form none
Form none
Form none
Form none
Form none
Form none
Form none
Form none
Form none
Form none
Other-Focus Group Guide
Other-Focus Group Guide
Other-Focus Group Guide
Other-Focus Group Guide
Formative Research to Assess Pediatric Healthcare Providers Knowledge, Attitudes and Practices around Zika Virus New 1600 533 0 Form none
Formative Research to Develop an Open Data Standard for Reporting Environmental Health Data New 43 43 0 Form and Instruction 0920-1154
Formative Research to Identify Common and Unique Barriers to the Exchange of Hospitalization and ED Data New 52 113 0 Form none
Form none
Form none
Formative Research to Inform an Intervention to Improve Early Detection and Surveillance of Pneumoconiosis in US Coal Miners New 276 124 0 Other-Interview guide
Form none
Other-Focus group guide
Form none
Form none
Formative Research with Clinicians for the Development of Quantitative Metrics to Improve Antibiotic Prescribing Behavior in the Outpatient Setting New 24 24 0 Other-WORD
Increase Enrollment in the CDC-Recognized Lifestyle Change Program (LCP) New 768 168 0 Form and Instruction NA
Form and Instruction NA
Form and Instruction NA
Form and Instruction NA
Older Adult Mobility Ride Share (OAMRS) New 535 190 9786 Form and Instruction 0920-1154
Form and Instruction 0920-1154
Form and Instruction 0920-1154
Form and Instruction 0920-1154
Form and Instruction 0920-1154
Form and Instruction 0920-1154
Form and Instruction 0920-1154
Participatory Mapping to Identify and Support At-Risk Populations in Emergency Preparedness – Phase 3 New 40 20 0 Form and Instruction 0920-1154
Participatory Mapping to Identify and Support at-Risk Populations in Emergency Preparedness New 100 100 0 Other-Interview Guide
Participatory Mapping to Identy and Support at Risk Population in Emergency Preparedness -- Phase 2 New 75 150 0 Other-WORD
Persuasive Communication about Risks from and Responses to Zika – State, Local and Tribal Government Interviews New 30 23 0 Form and Instruction NA
Persuasive Communication about Risks from and Responses to Zika: FOCUS GROUPS New 72 216 0 Form and Instruction NA
Reaching Minority Men Where They Are – Formative Research to Build Capacity for Enrollment in Diabetes Prevention and Management Programs New 4048 447 10877 Form and Instruction n/a
Form and Instruction n/a
Form and Instruction n/a
Form and Instruction n/a
Form and Instruction n/a
Reframing How We Talk About Alcohol New 354 132 0 Form and Instruction none
Other-Moderator Guide
Other-Moderator Guide
Zika Family Survey: In-Depth Interviews with Women Affected by Zika Virus New 260 85 0 Instruction
Instruction
Form and Instruction 0920-1154
Total Burden Actually Used for Information Collections Under Currently Approved ICR: 43699 11540 50753  
Total Burden Currently Requested for Information Collections Under Currently Approved ICR: 0 0 0  
To view an IC, click on IC Title