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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
[NCZEID] Focus Groups with Consumers on Oropouche
Agency IC Tracking Number:
0920-25BP
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
0920-25BP
Focus Group Screener
Attachment 1 - CDC DVBD - Task 6 Oropouche - Focus Group Screener 10.28.24.docx
Yes
Yes
Fillable Fileable
Form
0920-25BP
Focus Group Discussion Guide
Attachment 3 - CDC DVBD - Task 6 Oropouche - Focus Group Discussion Guide 10.28.24.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Illness Prevention
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
264
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
264
0
0
0
0
264
Annual IC Time Burden (Hours)
56
0
0
0
0
56
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Focus Group Consent Form
Attachment 2 - CDC DVBD - Task 6 Oropouche - Focus Group Consent Form 10.28.24.docx
11/29/2024
Draft Message Stimuli 1
Attachment 4a - CDC DVBD - Task 6 Oropouche - Draft Message Stimuli 10.28.24.pdf
11/29/2024
Draft Message Stimuli 2
Attachment 4b - CDC DVBD - Task 6 Oropouche - Draft Message Stimuli 10.28.24.pdf
11/29/2024
Draft Message Stimuli 3
Attachment 4c- CDC DVBD - Task 6 Oropouche - Draft Message Stimuli 10.28.24.png
11/29/2024
Human Subjects Determination
Attachment 5- Human Subjects Determination.pdf
11/29/2024
GenIC Request
GenIC Request Template.docx
11/29/2024
SSA
Supporting Statement A - CDC DVBD - Oropouche Data Collection - 10.28.2024 (002).docx
11/29/2024
SSB
Supporting Statement B - CDC DVBD - Oropouche Data Collection - 10.28.24.docx
11/29/2024
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.