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

View Information Collection (IC)

[NCEH] Evaluating Content and Usability of CDC's Clinical Heat Guidance 0920-1154-25CD
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-1154 Physician - Survey for Community Health Center Physicians and Non-Physicians on CDC’s Clinician Heat Guidance Attachment 1. CDC Clinical Heat Guidance Survey Instrument.docx N/A Yes Yes Fillable Fileable
Form and Instruction 0920-1154 Non-Physician - Survey for Community Health Center Physicians and Non-Physicians on CDC’s Clinician Heat Guidance Attachment 1. CDC Clinical Heat Guidance Survey Instrument.docx N/A Yes Yes Fillable Fileable
Form and Instruction 0920-1154 Physician - Survey for Community Health Center Physicians and Non-Physicians on CDC’s Clinician Heat Guidance_Spanish Attachment 12. CDC Heat Guidance Survey Instrument_Spanish.docx N/A Yes Yes Fillable Fileable
Form and Instruction 0920-1154 Non-Physician - Survey for Community Health Center Physicians and Non-Physicians on CDC’s Clinician Heat Guidance_Spanish Attachment 12. CDC Heat Guidance Survey Instrument_Spanish.docx N/A Yes Yes Fillable Fileable

Health Public Health Monitoring

 

1,000 0
   
Private Sector Not-for-profit institutions, 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 1,000 0 1,000 0 0 0
Annual IC Time Burden (Hours) 250 0 250 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Program Survey - Sample Attachement 3. Example of Programmed Survey.PNG 12/13/2024
Program Survey - Sample Work Flow Attachment 2. Programmed CDC-Heat_Guidance Survey Flow.docx 12/13/2024
Recruitment Flyer Attachment 7. Recruitment Flyer.png 12/13/2024
Recruitment, Reminder and Final Reminder Emails Attachments 4-6 - Recruitment, Reminder and Final Reminder Emails.docx 12/13/2024
Project Determination Attachment 9. Project determination.pdf 12/13/2024
Supporting Statement A SSA - for CDC Clinical Heat Guidance Eval 12.13.24.docx 12/13/2024
Supporting Statement B SSB - for CDC Clinical Heat Guidance Eval - GenIC 1154 -11.18.24.docx 12/13/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.