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[NIOSH] Formative Assessment of the Information Needs to Prevent Skin Cancer Among Spanish speaking Outdoor Workers
[OS] CDC/ATSDR Formative Research and Tool Development
OMB: 0920-1154
IC ID: 261060
OMB.report
HHS/CDC
OMB 0920-1154
ICR 202506-0920-010
IC 261060
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1154 can be found here:
2025-07-03 - No material or nonsubstantive change to a currently approved collection
2025-07-01 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
Form 0920-23GU
[NIOSH] Formative Assessment of the Information Needs to Prevent Skin Cancer Among Spanish speaking Outdoor Workers
Form and Instruction
0920-23GU Attmt III- Focus Group Guide - English_Spanish
Attmt III- Focus Group Guide - English_Spanish.docx
Form and Instruction
Attmt I- Authorizing Legislation.docx
Attmt I- Authorizing Legislation
IC Document
Attmt II- DSI IRB_Nonresearch_Flynn_Skin Cancer Outdoor Workers.pdf
Attmt II- DSI IRB_Nonresearch_Flynn_Skin Cancer Outdoor Workers
IC Document
Attmt IV- Recruitment_Consent_Form_English_Spanish.docx
Attmt IV- Recruitment_Consent_Form_English_Spanish
IC Document
Supporting Statement A_07-10-2023.docx
SSA
IC Document
Supporting Statement B.docx
Supporting Statement B
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
[NIOSH] Formative Assessment of the Information Needs to Prevent Skin Cancer Among Spanish speaking Outdoor Workers
Agency IC Tracking Number:
0920-23GU
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
0920-23GU
Attmt III- Focus Group Guide - English_Spanish
Attmt III- Focus Group Guide - English_Spanish.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Public Health Monitoring
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
28
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
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
28
0
0
0
0
28
Annual IC Time Burden (Hours)
42
0
0
0
0
42
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Attmt I- Authorizing Legislation
Attmt I- Authorizing Legislation.docx
07/12/2023
Attmt II- DSI IRB_Nonresearch_Flynn_Skin Cancer Outdoor Workers
Attmt II- DSI IRB_Nonresearch_Flynn_Skin Cancer Outdoor Workers.pdf
07/12/2023
Attmt IV- Recruitment_Consent_Form_English_Spanish
Attmt IV- Recruitment_Consent_Form_English_Spanish.docx
07/12/2023
SSA
Supporting Statement A_07-10-2023.docx
07/12/2023
Supporting Statement B
Supporting Statement B.docx
07/12/2023
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.