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Public Health Laboratory Focus Group Feedback on DLS Professional Development Services Offerings
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
OMB: 0920-0974
IC ID: 235481
OMB.report
HHS/CDC
OMB 0920-0974
ICR 201606-0920-007
IC 235481
( )
Documents and Forms
Document Name
Document Type
Form 0920-0974
Public Health Laboratory Focus Group Feedback on DLS Professional Development Services Offerings
Form and Instruction
0920-0974 Pre-Focus Group Questionnaire
02_DLS Training PD Service Delivery Pre Focus Group Questionnaire 03-22-2019(2).docx
Form and Instruction
0920-0974 Focus Group Guide
03_DLS Training PD Service Delivery PHL Focus Group Guide 03-22-2019(2).docx
Form and Instruction
01_Request for Approval Form_0920-0974_DLS_Training PD Service Delivery PHL Focus Group 03-22-2019.docx
Request of Approval
IC Document
04_Initial PHL Focus Group Invitation Email 03-22-2019.docx
PHI Focus Group Invitation
IC Document
05_DLS Training and PD Service Delivery Focus Group Informed Consent 03-22-2019.docx
Informed Consent
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Public Health Laboratory Focus Group Feedback on DLS Professional Development Services Offerings
Agency IC Tracking Number:
0920-19AJA
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
0920-0974
Focus Group Guide
03_DLS Training PD Service Delivery PHL Focus Group Guide 03-22-2019(2).docx
No
Paper Only
Form and Instruction
0920-0974
Pre-Focus Group Questionnaire
02_DLS Training PD Service Delivery Pre Focus Group Questionnaire 03-22-2019(2).docx
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Workforce Management
Subfunction:
Training and Employment
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
100
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
100 %
Approved
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
100
0
100
0
0
0
Annual IC Time Burden (Hours)
108
0
108
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Request of Approval
01_Request for Approval Form_0920-0974_DLS_Training PD Service Delivery PHL Focus Group 03-22-2019.docx
03/26/2019
PHI Focus Group Invitation
04_Initial PHL Focus Group Invitation Email 03-22-2019.docx
03/26/2019
Informed Consent
05_DLS Training and PD Service Delivery Focus Group Informed Consent 03-22-2019.docx
03/26/2019
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.