Formative Evaluation of CDC Autocidal Gravid Traps in Puerto Rico

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

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1071 can be found here:

Documents and Forms

Document Name Document Type
Formative Evaluation of CDC Autocidal Gravid Traps in Puerto Rico Form and Instruction
Focus Group Discussion Guide CDC-AGO Puerto Rico Focus Group Discussion Guide and informed consent in Puerto Rico May 15.docx Form and Instruction
0920-1071 Traps in PR.docx GenIC Request IC Document
Traps in PR NRD.pdf Non-Research Determination IC Document

Information Collection (IC) Details

IC Title:	Formative Evaluation of CDC Autocidal Gravid Traps in Puerto Rico	Agency IC Tracking Number:	16ALO

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	NA	Focus Group Discussion Guide CDC-AGO Puerto Rico	Focus Group Discussion Guide and informed consent in Puerto Rico May 15.docx	NA	No		Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title: 09-20-0136 Epidemiologic Studies and Surveillance of Disease Problems	FR Citation: 57 FR 62812

Number of Respondents: 60	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	60	60
Annual IC Time Burden (Hours)	60	60
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
GenIC Request	0920-1071 Traps in PR.docx	05/17/2016
Non-Research Determination	Traps in PR NRD.pdf	05/17/2016

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.