Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
[PHIC/NCEZID] Use and Acceptability of the Model Aquatic Health Code (2024) New 1373 706 0 Form 0920-0879 MAHC Use and Acceptability Survey (EpiInfo Web Survey)
Form and Instruction 0920-0879 Focus Group Discussion Guide—Moderate MAHC Use and Implementation
Form and Instruction 0920-0879 Focus Group Discussion Guide—Moderate MAHC Use and Implementation
Form and Instruction 0920-0879 Focus Group Discussion Guide—Advanced MAHC Use and Implementation
Form and Instruction 0920-0879 Case Study In-Depth Interview Guide
[PHIC/NCHHSTP] 2024 TB Training and Education Needs Assessment – The U.S.-affiliated Pacific Islands – Online Survey New 78 32 0 Form and Instruction n/a 2024 Tuberculosis (TB) Training and Education Needs Assessment of the U.S.-affiliated Pacific Islands
[PHIC/NCIRD] Pediatric Hepatitis-Adenovirus Case Control Evaluation, United States 2022-2026 (24CN) New 5000 375 0 Form and Instruction 0920-0879 PEDIATRIC HEPATITIS OF UNKNOWN ETIOLOGY MEDICAL RECORD ABSTRACTION FORM
Form and Instruction 0920-0879 Pediatric Hepatitis of Unknown Etiology - Exposures Questionnaire (Parental Interview)
Form and Instruction 0920-0879 Pediatric Hepatitis of Unknown Etiology - Exposures Questionnaire CONTROL (Parental Interview)
Form and Instruction 0920-0879 Hepatitis pediátrica de etiología desconocida - Cuestionario sobre exposiciones (entrevista a los padres)
Form and Instruction 0920-0879 Hepatitis pediátrica de etiología desconocida. CONTROL del cuestionario sobre exposiciones (Entrevista a los padres)
[PHIC] Assessing Funded Overdose Data to Action (OD2A) Grantee Implementation and Impacts of Stop Overdose Campaigns New 90 38 0 Form and Instruction 0920-0879 O2DA Partner Evaluation Survey: Screener and Annotated Questionnaire
Form and Instruction 0920-0879 O2DA Partner Evaluation Survey: Screener and Annotated Questionnaire
[PHIC] CDC Funded Recipient Experience Survey New 2000 533 0 Form and Instruction n/a CDC Funded Recipient Experience Survey
[PHIC] OT21-2103 Success Stories (2024-2026) New 2160 13320 0 Form and Instruction n/a OT20-2103 Success Stories Form
Total Burden Actually Used for Information Collections Under Currently Approved ICR: 10701 15004 0  
Total Burden Currently Requested for Information Collections Under Currently Approved ICR: 0 0 0  
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