View Information Collection (IC)
View Information Collection (IC)

View Information Collection (IC)

[PHIC/NCEZID] Use and Acceptability of the Model Aquatic Health Code (2024)
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 0920-0879 https://epiinfosecurewebsurvey.cdc.gov/Survey/6efb7a91-f9b2-48c0-9013-cc370b2d6b65/1 Yes Yes Fillable Fileable
Form and Instruction 0920-0879 Yes No Fillable Fileable
Form and Instruction 0920-0879 Yes No Fillable Fileable
Form and Instruction 0920-0879 Yes No Fillable Fileable
Form and Instruction 0920-0879 Yes No Fillable Fileable

Health Public Health Monitoring

 

1,373 0
   
State, Local, and Tribal Governments
 
   50 %

  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 1,373 0 0 0 0 1,373
Annual IC Time Burden (Hours) 706 0 0 0 0 706
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
SSA 07/31/2024
SSB 07/31/2024
Algorithm for Focus Group Placement 07/31/2024
Survey Consent Form 07/31/2024
Survey Recruitment Email 07/31/2024
Survey Recruitment: Partner Listserv Email 07/31/2024
Survey Reminder Email 07/31/2024
Survey Snowball Sampling Recruitment Email 07/31/2024
Focus Group Invitation Email 07/31/2024
Focus Group Confirmation Email 07/31/2024
Focus Group Reminder Email 07/31/2024
Focus Group Consent Form 07/31/2024
Case Study Recruitment Email 07/31/2024
Case Study Confirmation Email 07/31/2024
Case Study Consent Form 07/31/2024
Determination of Non-applicability of Human Subjects Regulations 07/31/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
Something went wrong when downloading this file. If you have any questions, please send an email to risc@gsa.gov.