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View Information Collection (IC)
View Information Collection (IC)
IC Title:
[NCZEID] Formative Communications Assessment on Antimicrobial Resistance
Agency IC Tracking Number:
0920-1154-24DM
IC Status:
Unchanged
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
0920-24DM
Focus Group Screener
Attachment 1 - Screener - Provider FGs_2.20.24_V4.docx
Yes
Yes
Fillable Fileable
Form
0920-24DM
Focus Group Guide for HCPs about Antimicrobial Resistance
Attachment 6 - Focus Group Guide - Providers_2.12.24_V3.docx
Yes
Yes
Fillable Fileable
Form
0920-24DM
Interview Guide for Medical Association about Antimicrobial Resistance
Attachment 9 - Interview Guide - Medical Assn Experts_2.12.24_V3.docx
Yes
Yes
Fillable Fileable
Form
0920-24DM
Focus Group Screener for Consumers, Including Parents, and Caregivers
Attachment 2 - Screener - Consumer FGs_2.20.24_V4.docx
Yes
Yes
Fillable Fileable
Form
0920-24DM
Focus Group Guide for General Consumers about Antimicrobial Resistance
Attachment 7 - Focus Group Guide - General Consumers_2.12.24_V3.docx
Yes
Yes
Fillable Fileable
Form
0920-24DM
Focus Group Guide for Caregivers about Antimicrobial Resistance
Attachment 8 - Focus Group Guide - Consumer Caregivers_2.12.24_V3.docx
Yes
Yes
Fillable Fileable
Form
0920-24DM
In-Depth Interview Screener for Consumers with Previous Antimicrobial-Resistant Infections
Attachment 3 - Screener - Consumer with Past Infection IDIs_2.20.24_V4.docx
Yes
Yes
Fillable Fileable
Form
0920-24DM
Interview Guide for Consumers with Past Antimicrobial Resistant Infections on Antimicrobial Resistance
Attachment 10 - Interview Guide - Consumers with Past Infection_2.12.24_V3.docx
Yes
Yes
Fillable Fileable
Form
0920-24DM
Survey on Antimicrobial Resistance Among National Policy Audiences
Attachment 11 - Survey - Policy Audience_2.20.24_V4.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Workforce Management
Subfunction:
Training and Employment
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
1,040
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
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
1,040
0
0
0
0
1,040
Annual IC Time Burden (Hours)
201
0
0
0
0
201
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
SSA
WS-CDC ARX_Formative Research_OMB Supporting Statement A 3_7.24_V5.docx
03/12/2024
SSB
WS-CDC ARX_Formative Research_OMB Supporting Statement B_2.12.24_V3.docx
03/12/2024
Human Subjects Determination
Attachment 12- Human Subjects Determination.pdf
03/12/2024
GenIC Request
WS-CDC ARX_OMB GenIC Request_3.7.24_V3.docx
03/12/2024
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.