0920-17BL Data Collection Instrument # 2

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

Data Collection Instrument # 2

Assessment of "The Refugee Journey to Wellbeing" Exhibit at the 2016 American Society of Tropical Medicine and Hygiene (ASTMH) Conference, Atlanta, GA

OMB: 0920-1071

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Form Approved

OMB Control No. 0920-1071

Exp. Date: 06/30/18








Data Collection Instrument 2: Post-Exhibit Screening

Survey will be conducted on Monday, Nov 14-Thursday Nov 17. Those who have attended the Exhibit and did not answer Survey 1 are eligible.

Hi. I’m _____ with the CDC. Would you be willing to help out by answering a few questions related to a new exhibit we are showing at this Annual Meeting? It will take about 7 minutes. It is anonymous and voluntary. We are hoping to speak with some meeting attendees who have attended to the exhibit. The results from these surveys will help us know if we were successful in meeting our goals this week. May I begin?

1. Have you viewed the CDC Exhibit “The Refugee Journey to Wellbeing?” (Must have spent at least 5 minutes at exhibit to qualify. If no, end survey.)

2. Did you answer another survey about the exhibit on Sunday evening? (If yes, end survey.)



Public reporting burden of this collection of information is estimated to average 1 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information.  An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB Control Number.  Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to CDC/ATSDR Reports Clearance Officer, 1600 Clifton Road NE, MS D-74, Atlanta, Georgia 30333; ATTN: PRA 0920-1071



File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorConner, Catina (CDC/OD/OADS)
File Modified0000-00-00
File Created2021-01-25

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