Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
2020 Carbapenem Resistance Veterinary Diagnostic Laboratory Survey New 51 17 543 Form and Instruction n/a
Other-WORD version of survey to facilitate review of content
Assessment of Colorectal Cancer Control Program Implementation at Health System Clinic Sites New 393 131 0 Other-Web Version
Form and Instruction 0920-20PX
Assessment of Partnerships Impacting STD Outcomes in Areas of Service Reduction New 184 132 0 Form and Instruction 0920-0879
Form and Instruction 0920-0879
Form and Instruction 0920-0879
Form and Instruction 0920-0879
Form and Instruction 0920-0879
Form and Instruction 0920-0879
Assessment of STLT Public Health Agencies to Guide the Update of CDC/ATSDR Cancer Cluster Guidelines New 3190 1715 0 Form none
Form none
Other-Focus group guide
Assessment of the National Health Security Index for Public Health Preparedness New 320 290 0 Form none
Form none
Other-Interview guide
CDC Newborn Screening Quality Assurance Program – Spinal Muscular Atrophy (SMA) Proficiency Testing (PT) Pilot New 40 9 457 Form and Instruction n/a
Form and Instruction n/a
CDC Project Officer Support: SHD Officials Assessment New 969 404 0 Other-WORD
Form and Instruction 0920-0879
Community of Practice Member Satisfaction and Needs Assessment New 295 74 0 Form none
Form none
DROUGHT-IC New 3440 1147 0 Form and Instruction 0920-0879
Other-WORD
Determining the Landscape of QMSs for PHLs Performing NGS (LD) New 57 38 0 Form and Instruction 0920-20PD
EBP-PHPR New 562 328 0 Form none
Form none
Environmental Health Workforce Current and Emerging Challenges Assessment New 1036 177 0 Form and Instruction 0920-0879
Form and Instruction 0920-0879
Form and Instruction 0920-0879
Form and Instruction 0920-0879
Form and Instruction 0920-0879
HIV Partner Services HIPEP Assessment New 60 60 0 Form none
Form none
Medical Countermearsure Training Needs Assessment New 2174 637 0 Other-Electronic Version
Other-Electronic version
Other-Electronic Version
NCCCP Program Improvement Assessment New 67 50 0 Form none
Form none
NOFO: Assessment of Language and Structure New 775 335 0 Form none
Other-Interview Guide
NSSP BioSense Platform User Assessment: Functionality and Utility New 218 73 2664 Form and Instruction n/a
Other-This is a Word version of the instrument to facilitate review of content
National Syndromic Surveillance Program Community of Practice Assessment New 153 38 0 Form none
Form none
PHEP Success Story Assessment New 62 5 0 Form and Instruction 0920-0879
Form and Instruction 0920-0879
Pandemic Influenza: Assessing the Feasibility and Acceptability of Implementing the 2017 Community Mitigation Guidelines and Recommendations (CMG-EVAL) New 878 1317 48501 Form and Instruction n/a
Form and Instruction n/a
Other-Word version of survey to facilitate review of content
Pre-Hospital Stroke Systems of Care: Emergency Medical Service System (EMSS) Implementation Assessment New 48 72 0 Form and Instruction 0920-0879
Prevention and Control of Shigellosis: A Needs Assessment of State and Local Health Departments New 80 80 3292 Form and Instruction n/a
Public Health Ethics Activities at State and Local Health Departments: Current Status and Challenges New 88 23 1067 Form and Instruction 0920-0879
Form and Instruction 0920-0879
Public Health in Indian Country Capacity Scan Assessment (PHICCS) New 261 261 0 Form and Instruction 0920-0879
Form and Instruction 0920-0879
Form and Instruction 0920-0879
Qualitative Assessment of CDC-funded Local Health Dept Violence Prevention Efforts New 22 20 0 Other-Interview Guide
RAWMILKPR - Unpasteurized Milk Outbreaks: An Assessment of the Legal Landscape, Outbreak Investigations, and Prevention at the State Leve New 700 234 0 Other-Screenshots
Form and Instruction 0920-0879
SLPHERLT New 762 283 12217 Form and Instruction 0920-0879
Form and Instruction 0920-0879
STD Prevention and Control: Workplan Template Pilot New 59 272 0 Form none
Form none
Spinal Muscular Atrophy (SMA) Proficiency Testing (PT) Pilot New 80 6 0 Form and Instruction none
Form and Instruction none
State Oral Health Program Assessment New 51 31 2077 Other-Word version of the Online Survey (for reference)
Form and Instruction n/a
Form and Instruction n/a
State Oral Health and Chronic Disease Programs Integration Assessment New 12 10 547 Form and Instruction n/a
The State of State Suicide Prevention: An Environmental Scan New 213 96 0 Form and Instruction 0920-0879
Form and Instruction 0920-0879
Form and Instruction 0920-0879
Form and Instruction 0920-0879
Vector Surveillance and Control Assessment: Post Zika-Response and Tick Capacities (VECTOR-PZ) New 3000 450 19980 Form and Instruction n/a
Other-WORD version of survey content to facilitate review
Total Burden Actually Used for Information Collections Under Currently Approved ICR: 20300 8815 91345  
Total Burden Currently Requested for Information Collections Under Currently Approved ICR: 0 0 0  
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