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[OPHDST] Jurisdictional Staff Feedback to Improve Case Interview Training
[OADC] CDC Usability and Digital Content Testing
OMB: 0920-1050
IC ID: 266180
OMB.report
HHS/CDC
OMB 0920-1050
ICR 202505-0920-006
IC 266180
( )
Documents and Forms
Document Name
Document Type
Form 0920-1050
[OPHDST] Jurisdictional Staff Feedback to Improve Case Interview Training
Form and Instruction
0920-1050 Survey - Jurisdictional public health staff members
Att A DAP Course Survey for Pilot 03202024.docx
Form and Instruction
0920-1050 Focus Group - Jurisdictional public health staff members
Att B DAP focus group guide 03202024.docx
Form and Instruction
0920-1050 Survey - Subject matter experts in populations
Att A DAP Course Survey for Pilot 03202024.docx
Form and Instruction
0920-1050 Focus Group - Subject matter experts in populations
Att B DAP focus group guide 03202024.docx
Form and Instruction
Att C DAP communications to respondents 03202024.docx
Communication Instruction to Respondents
IC Document
0920-1050 DAP SSA New Requirements_03202024.docx
SSA Requirement
IC Document
0920-1050 DAP Template_03202024.docx
0920-1050 GenIC Request Template
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
[OPHDST] Jurisdictional Staff Feedback to Improve Case Interview Training
Agency IC Tracking Number:
0920-1050-24DY
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 and Instruction
0920-1050
Survey - Jurisdictional public health staff members
Att A DAP Course Survey for Pilot 03202024.docx
N/A
Yes
Yes
Fillable Fileable
Form and Instruction
0920-1050
Focus Group - Jurisdictional public health staff members
Att B DAP focus group guide 03202024.docx
N/A
Yes
Yes
Fillable Fileable
Form and Instruction
0920-1050
Survey - Subject matter experts in populations
Att A DAP Course Survey for Pilot 03202024.docx
N/A
Yes
Yes
Fillable Fileable
Form and Instruction
0920-1050
Focus Group - Subject matter experts in populations
Att B DAP focus group guide 03202024.docx
N/A
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Consumer Health and Safety
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
177
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
100 %
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
177
0
0
0
0
177
Annual IC Time Burden (Hours)
107
0
0
0
0
107
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Communication Instruction to Respondents
Att C DAP communications to respondents 03202024.docx
03/21/2024
SSA Requirement
0920-1050 DAP SSA New Requirements_03202024.docx
03/21/2024
0920-1050 GenIC Request Template
0920-1050 DAP Template_03202024.docx
03/21/2024
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.