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[NCEZID] In-Depth Interviews with Young Adults About Emergency Response Communication 0920-25-0151
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction n/a Screener Attch 1_NCEZID_Emergency Response Comm IDI Screener_v2_7.11.25.docx Yes Yes Fillable Fileable
Form and Instruction n/a Consent Attch 2_NCEZID_Emergency Response Comm ID Consent Form_v2_7.11.25.docx Yes Yes Fillable Fileable
Form and Instruction n/a Interview Guide Attch 3_NCEZID_Emergency Response Comm IDI_Guide_v2_7.11.25.docx Yes Yes Fillable Fileable

Health Illness Prevention

 

120 0
   
Individuals or Households
 
   90 %

  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 120 0 120 0 0 0
Annual IC Time Burden (Hours) 19 0 19 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
SSA NCEZID_Emergency Response Comm_OMB SSA_v1_7.11.25.docx 07/31/2025
SSB NCEZID_Emergency Response Comm_OMB SSB_v1_7.11.25.docx 07/31/2025
Research Determination Attch 4_Human Subjects Determination.pdf 07/31/2025
GenIC Request Template NCEZID_Emergency Response Comm_GenIC Request Form_v1_7.11.25.docx 07/31/2025
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.