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[CSELS/DLS]CDC OneLab Network Formative Evaluation 0920-1154-24AR
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-1154-24AR 04_Attachment 1_OneLab Network Survey_10-26-2023 04_Attachment 1_OneLab Network Survey_10-26-2023.docx Yes Yes Fillable Fileable

Health Illness Prevention

 

30 0
   
Private Sector Businesses or other for-profits
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 30 0 30 0 0 0
Annual IC Time Burden (Hours) 2 0 2 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Request for Approval 01_Formative Research_GenIC_Request_CDC OneLab Network Evaluation_10-26-23.docx 11/03/2023
SSA 02_Supporting Statement A_OneLab Network_10-26-23.docx 11/03/2023
SSB 03_Supporting Statement B_OneLab Network Social Network Survey10-26-2023.docx 11/03/2023
05_Attachment 2_Invitation and emails to participants_OneLab Network Surveys_10-26-2023 05_Attachment 2_Invitation and emails to participants_OneLab Network Surveys_10-26-2023.docx 11/03/2023
06_Attachment 3_OneLab Network OnePager_05102023 06_Attachment 3_OneLab Network OnePager_05102023.pdf 11/03/2023
07_Attachment 4_Project Determination_Human Subject Research Determination_OneLab Network 07_Attachment 4_Project Determination_Human Subject Research Determination_OneLab Network.pdf 11/03/2023
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.