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

View Information Collection (IC)

[NCEZID] Communication Evaluation Assessing Foodborne, Waterborne and Mycotic Disease Prevention
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-1154 Eligibility Screener - Focus Group Attachment 1 - Eligibility Screener_FG.docx N/A Yes Yes Fillable Fileable
Form and Instruction 0920-1154 Eligible Participant Screener - Focus Group Attachment 3 - Eligible Participant Screener_FG.docx N/A Yes Yes Fillable Fileable
Form and Instruction 0920-1154 Eligibility Screener - Survey Attachment 9 - Eligibility Screener for Rapid Survey.docx N/A Yes Yes Fillable Fileable
Form and Instruction 0920-1154 Focus Group Moderator Guide Attachment 8 - Focus Group Moderator Guide.docx N/A Yes Yes Fillable Fileable
Form and Instruction 0920-1154 Rapid Online Survey Attachment 11 - Rapid Survey.docx N/A Yes Yes Fillable Fileable

Health Illness Prevention

 

6,794 0
   
Individuals or Households
 
   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 6,794 0 6,794 0 0 0
Annual IC Time Burden (Hours) 650 0 650 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Recruitment Materials - FG Attachment 2 - Recruitment Materials_FG.docx 12/30/2024
Consent Form - FG Attachment 5 - Respondent Consent Form_FG.docx 12/30/2024
Standard Invitation - FG Attachment 6 - Standard Invitation_FG.docx 12/30/2024
Participant Confirmation Email - FG Attachment 7 - Participant Confirmation Email_FG.docx 12/30/2024
Recruitment Materials - Survey Attachment 13 - Recruitment Materials_Survey.docx 12/30/2024
Consent Form - Survey Attachment 12 - Respondent Consent Form_Survey.docx 12/30/2024
Test Messages Attachment 15 - Messages to be tested.docx 12/30/2024
Non-Research Determination Attachment 16- Human Subjects Determination.pdf 12/30/2024
Privacy Agreement Attachment 4 - Privacy Agreement.docx 12/30/2024
GenIC Request GenIC Request_DFWED.docx 12/30/2024
Supporting Statement A Supporting Statement A.docx 12/30/2024
Supporting Statement B Supporting Statement B.docx 12/30/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.