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[NCEZID] (genIC) Healthcare Provider Communication Evaluation: Assessing Foodborne Illness and Waterborne Illness Prevention Messages, Knowledge, and Attitudes 0920-1154-24CU
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 0920-1154 Yes No Fillable Fileable
Form and Instruction 0920-1154 Yes No Fillable Fileable
Form and Instruction 0920-1154 Yes No Fillable Fileable
Form and Instruction 0920-1154 No   Paper Only

Health Public Health Monitoring

 

360 0
   
Private Sector Businesses or other for-profits
 
   100 %

  Requested 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 360 0 0 0 0 360
Annual IC Time Burden (Hours) 69 0 0 0 0 69
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
SSA (24CU) 02/06/2024
SSB (24CU) 02/06/2024
Request for genIC Approval CDC/ATSDR Formative Research and Tool Development (24CU) 02/06/2024
Recruitment Materials (24CU) 02/06/2024
Privacy Agreement_Project Staff (24CU) 02/06/2024
Respondent Consent Form (24CU) 02/06/2024
Invitation_Standard (24CU) 02/06/2024
Participant Confirmation Email (24CU) 02/06/2024
Determination of Non-applicability of Human Subjects Regulations (24CU) 02/06/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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