Formative Research with Clinicians for the Development of Quantitative Metrics to Improve Antibiotic Prescribing Behavior in the Outpatient Setting

CDC/ATSDR Formative Research and Tool Development

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1154 can be found here:

Documents and Forms

Document Name Document Type
Attachment A_Focus Group Guide.docx Other-WORD
Attachment B_Determination of non-human subject research.doc Att B_IRB Determination IC Document
Attachment C_Recruitment Email.docx Att C_Recruitment Email IC Document
Attachment D_Benchmark Presentation.pptx Att D_CHOP BAA Benchmark Presentation IC Document
SS A_Formative Research with Clinicians for the Development of Quantitat...docx SSA IC Document
SS B_Formative Research with Clinicians for the Development of Quantitat...docx SSB IC Document
GenIC Rquest_CHOP BAA Metrics.docx Request for Approval IC Document

Information Collection (IC) Details

IC Title:	Formative Research with Clinicians for the Development of Quantitative Metrics to Improve Antibiotic Prescribing Behavior in the Outpatient Setting	Agency IC Tracking Number:	0920-1154-18BCT

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
Other-WORD			Attachment A_Focus Group Guide.docx		No		Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 24	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	24	24
Annual IC Time Burden (Hours)	24	24
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Att B_IRB Determination	Attachment B_Determination of non-human subject research.doc	10/09/2018
Att C_Recruitment Email	Attachment C_Recruitment Email.docx	10/09/2018
Att D_CHOP BAA Benchmark Presentation	Attachment D_Benchmark Presentation.pptx	10/09/2018
SSA	SS A_Formative Research with Clinicians for the Development of Quantitat...docx	10/09/2018
SSB	SS B_Formative Research with Clinicians for the Development of Quantitat...docx	10/09/2018
Request for Approval	GenIC Rquest_CHOP BAA Metrics.docx	10/09/2018

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