Creative Concept Testing on Antimicrobial Resistance

[OS] CDC/ATSDR Formative Research and Tool Development

OMB: 0920-1154

IC ID: 268471

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Creative Concept Testing on Antimicrobial Resistance
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-1154 Focus Group Screener for Consumers, Including Parents Attachment 1_WS-CDC ARX_Concept Testing Screener_Consumer FGs_5.10.24_V1.docx Yes No Fillable Fileable
Form and Instruction 0920-1154 Interview Screener for Healthcare Providers Attachment 2_WS-CDC ARX_Concept Testing Screener_HCP IDIs_5.10.24_V1.docx Yes No Fillable Fileable
Form and Instruction 0920-1154 Focus Group Guide for Consumers about Antimicrobial Resistance Concept Testing Attachment 5_WS-CDC ARX_Concept Testing Guide_Consumer FGs_5.31.24_FINAL.docx No   Paper Only
Form and Instruction 0920-1154 Interview Guide for Healthcare Professionals about Antimicrobial Resistance Concept Testing Attachment 6_WS-CDC ARX_Concept Testing Guide_HCP IDIs_5.31.24_FINAL.docx No   Paper Only

Health Consumer Health and Safety

 

616 0
   
Individuals or Households
 
   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 616 0 0 0 0 616
Annual IC Time Burden (Hours) 127 0 0 0 0 127
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
SSA Attachment 6_WS-CDC ARX_Concept Testing Guide_HCP IDIs_5.31.24_FINAL.docx 06/14/2024
SSB WS-CDC ARX_Creative Testing OMB Supporting Statement B_FINAL.docx 06/14/2024
Request for Approval under the “Generic Clearance for the Collection (OMB Control Number: 0920-1154) WS-CDC ARX_Creative Testing Gen IC Request Form_FINAL.docx 06/14/2024
Focus Group Consent Form for ARX Creative Concept Testing Attachment 3_WS-CDC ARX_Concept Testing Consent Form_Consumer FGs_5.10.24_V1.docx 06/14/2024
Interview Consent Form for ARX Creative Concept Testing Attachment 4_WS-CDC ARX_Concept Testing Consent Form_HCP IDIs_5.10.24_V1.docx 06/14/2024
Antimicrobial Resistance Coordination and Strategy Unit Attachment 7_WS-CDC ARX_Creative Concepts_6.3.pdf 06/14/2024
Determination of Non-applicability Attachment 8_Human Subjects Determination Memo.pdf 06/14/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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