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ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
[OLSS] CDC Onelab REACH Formative Evaluation
Agency IC Tracking Number:
0920-25-0153
IC Status:
New
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 and Instruction
n/a
Single Sign-up Survey
04_Att1_OneLab REACH Single Sign-Up Survey_08-12-2025.docx
Yes
Yes
Fillable Fileable
Form and Instruction
n/a
Post Course Evaluation Survey
05_Att2_OneLab REACH Post Course Evaluation Survey_08-12-2025.docx
Yes
Yes
Fillable Fileable
Form and Instruction
n/a
User Experience Survey
06_Att3_OneLab REACH User Experience Survey_08-12-2025.docx
Yes
Yes
Fillable Fileable
Form and Instruction
n/a
Mini Lesson Job Aid Surveys
07_Att4_OneLab REACH MiniLesson_JobAid_Surveys_08-12-2025.docx
Yes
Yes
Fillable Fileable
Form and Instruction
n/a
PACE and non PACE Evaluation Survey
08_Att5_OneLab REACH PACE and non PACE Evaluation Survey_08-12-25.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Workforce Management
Subfunction:
Training and Employment
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
50,000
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
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
50,000
0
50,000
0
0
0
Annual IC Time Burden (Hours)
12,333
0
12,333
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
GenIC Request Template
01_Formative Research_GenIC Request_CDC OneLab REACH_08-12-2025.docx
08/14/2025
SSA
02_Supporting Statement A_OneLab REACH_08-12-25_final.docx
08/14/2025
SSB
03_Supporting Statement B_OneLab REACH_07-31-25.docx
08/14/2025
Survey Invitation Post Course
09_Att6 _ Survey invitation_ Post Course_07-31-2025.docx
08/14/2025
Survey Invitation Other
10_Att7 _Survey invitation_Other_07-31-2025.docx
08/14/2025
REACH One Pager
11_Att8_OneLab REACH One Pager.pdf
08/14/2025
Research Determination
12_Att9_Project Determination_Human Subjects Research Determination.pdf
08/14/2025
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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