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Key Informant Interview
US-based Migrant Farm Workers Understanding and Use of Measures to Prevent Zika Transmission
OMB: 0920-1126
IC ID: 222552
OMB.report
HHS/CDC
OMB 0920-1126
ICR 201608-0920-005
IC 222552
( )
Documents and Forms
Document Name
Document Type
Key Informant Interview
Form and Instruction
Rapid Assessment: US-Based Migrant Farm Workers’ Underst
Attachment C Key Informant Interview Field Guide - English.docx
Form and Instruction
Revised Rapid Assessment: US-Based Migrant Farm Workers'
Appendix D_KII Field Guide_Spanish_CLEAN_8-4-2016.docx
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Key Informant Interview
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
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
Rapid Assessment: US-Based Migrant Farm Workers’ Understanding and Use of Measures to Prevent Zika Transmission Key Informant Interview Guide - English
Attachment C Key Informant Interview Field Guide - English.docx
NA
No
Paper Only
Form and Instruction
NA
Revised Rapid Assessment: US-Based Migrant Farm Workers' Understanding and Use of Measures to Prevent Zika Transmission - Key Informant Interview Guide - Spanish 09AUG2016
Appendix D_KII Field Guide_Spanish_CLEAN_8-4-2016.docx
NA
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Illness Prevention
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
20
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
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
20
0
0
0
0
20
Annual IC Time Burden (Hours)
20
0
0
0
0
20
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.