Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
2018 NPIN Evaluation Focus Groups New 240 163 0 Form and Instruction 0920-1027 NPIN Evaluation Screener
Form and Instruction 0920-1027 NPIN Evaluation Moderator Guide - Managers
Form and Instruction 0920-1027 NPIN Evaluation Moderator Guide - Rank and File
2018 NPIN Web-based Survey New 12120 260 0 Form none NPIN Survey Screener
Form none NPIN Survey - word
Form none NPIN Survey - screenshots
Assessment of Asian-American and Pacific Islanders Community Health Organizations' (AAPCHO) Providers Knowledge, Attitudes, and Practices Regarding Latent TB Infection New 100 25 0 Form and Instruction 0920-1027 AAPCHO/MAYO Clinic Tuberculosis Assessment
Assessment of the Model Performance Evaluation Program (MPEP) New 84 21 0 Other-WORD
Form and Instruction 0920-1027 Assessment of the Model Performance Evaluation Program (MPEP)
Customer Feedback from CDC-Funded CBO about Rapid Feedback Reports New 476 40 0 Form none Web Assessment
Customer Service Satisfaction Assessment of TB Laboratory Site Visits conducted by CDC Laboratory Consultants-Online Survey New 58 10 0 Form and Instruction n/a Site Visit Evaluation: Immediate Follow-up
Other-WORD version of instrument content to facilitate review of all possible questions
Virtual Focus Groups for Exploratory Research with Primary Care Physicians - Hepatitis C New 496 187 0 Form none Screener
Other-Focus Group Guide
Total Burden Actually Used for Information Collections Under Currently Approved ICR: 13574 706 0  
Total Burden Currently Requested for Information Collections Under Currently Approved ICR: 0 0 0  
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