Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Assessment of Gonorrhea Case Interviewing in SSuN Sites New 50 50 0 Other-Interview Guide
Other-Interview Guide
DASH DEMO: Understanding Consortia Model Structures for Implementation of Health Programming in Schools New 521 286 0 Form and Instruction 0920-20CL Implementation of Health Programming in Schools Web Survey
Form and Instruction 0920-21CL Consortia Staff Qualitative Discussion Guide and Consent - 90 Min Consortia District Level Interview
Form 0920-21CL Consortia Staff Qualitative Discussion Guide and Consent - 90 Min Consortia School Administrators
DASH Demo: Comprehensive Health Educator Core Knowledge and Skills Training (CHECKS) PD Pilot Study New 1800 662 0 Form 0920-0840 Adolescent Growth and Development Survey
Other-Screenshots
Form 0920-0840 Assess and Adjust Survey
Other-Screenshots
Form 0920-0840 Basic Principles of Teaching Health Education Survey
Other-Screenshots
Form 0920-0840 Culturally Responsive Health Education Classroom Survey
Other-Screenshots
Form 0920-0840 In-person Training Survey
Other-Screenshots
Form 0920-0840 Micro Session Survey
Other-Screenshots
Form 0920-0840 Trauma Informed Approach Survey
Other-Screenshots
Form 0920-0840 Teacher Survey
Other-Screenshots
Form 0920-0840 Student Survey
Other-Screenshots
Formative Evaluation of Professional Development Resources - Web Survey New 475 174 0 Form and Instruction 0920-0840 Formative Evaluation of Professional Development Resources - Web Survey
Other-WORD
Health Communication Message Testing on Adolescent Health New 2698 535 0 Other-Moderator Guide
Form and Instruction none Recruitment Screener
Form and Instruction none Professional Outreach Email and Screener
Health Communication Message Testing on Tuberculosis New 6885 1080 0 Form and Instruction none Recruitment Screener
Other-Moderator's Guide
Pathways: Qualitative Interviews with Post-Partum Women Associated with Congenital Syphilis Cases (Case Mothers) New 420 120 0 Form and Instruction 0920-0840 Recruitment Script
Form and Instruction 0920-0840 Interview Scheduling Script
Form and Instruction 0920-0840 Interview Guide
Usability Pilot Test of the ARCH Digital Application for HIV Prevention Providers New 300 125 0 Form none Assessment survey -word
Form none Assessment survey - screenshots
Usability Testing to Inform Development of the CDC Division of Sexually Transmitted Disease Prevention's Website New 170 71 0 Form and Instruction 0920-0840 Screener Adult
Form and Instruction 0920-0840 Screener Healthcare Provider
Form and Instruction 0920-0840 Screener Public Health Professional
Form and Instruction 0920-0840 Interview Adult Guide
Form and Instruction 0920-0840 Interview Healthcare Provider Guide A
Form and Instruction 0920-0840 Interview Healthcare Provider Guide B
Form and Instruction 0920-0840 Interview Public Health Professional Guide
Virtual Focus Groups with Primary Care Physicians and OBGYNs New 528 233 0 Form and Instruction 0920-0840 Recruitment Screener
Other-WORD
Form 0920-0840 DISCUSSION GUIDE: Virtual Focus Groups with Primary Care Physicians and OBGYNs: Attitudes about Proposed Hepatitis C Screening Guidelines DVH 2019
Total Burden Actually Used for Information Collections Under Currently Approved ICR: 13847 3336 0  
Total Burden Currently Requested for Information Collections Under Currently Approved ICR: 0 0 0  
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