Information Collection

Communication Support for the National Center for Emerging and Zoonotic Infectious Diseases; Anthrax Materials Testing

IC 241417 under ICR 201806-0920-001 · OMB 0920-0572.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0572 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 0920-20MU Communication Support for the National Center for Emerging and Zoonotic Infectious Diseases; Anthrax Materials Testing	Form and Instruction
0920-20MU Screening/Eligibility Form Attachment 1_CDC NCEZID_IDI screener_12-12-19_FINAL-revised V2.docx	Form and Instruction
0920-20MU Guide for Adults 65+ Attachment 2_CDC NCEZID_IDI Guide for Adults 65+_12-18-19_FINAL.docx	Form and Instruction
0920-20MU Guide for Parents Attachment 3_CDC NCEZID_IDI Guide for Parents_12-18-19_FINAL.docx	Form and Instruction
0920-20MU Guide for ESL Adults Attachment 4_CDC NCEZID_IDI Guide for ESL Adults_12-18-19_FINAL for submission.docx	Form and Instruction
0920-0572 Anthrax Antibiotics & Children Fact Sheet Attachment 5_Anthrax Antibiotics and Children Fact Sheet.pdf	Form
0920-0572 Anthrax Get Vaccinated Fact Sheet Attachment 6_Anthrax Get Vaccinated Fact Sheet.pdf	Form
0920-0572 Anthrax Pregnancy Fact Sheet Attachment 7_Anthrax Pregnancy Fact Sheet.pdf	Form
0920-0572 Anthrax General Fact Sheet Attachment 8_Anthrax General Fact Sheet.pdf	Form
0920-0572 Anthrax POD Fact Sheet Attachment 9_Anthrax POD Fact Sheet.pdf	Form
HMTS Expedited Review Form_Attachment B_NCEZID IDIs_v2.docx Expedited Review Form	IC Document
CDC NCEZID Protocol_12-18-19_FINAL-revised V3.docx Protocol	IC Document
010220LM-NR-signed.pdf Determination of Non-applicability of Human Subjects Regulations	IC Document
CDC NCEZID_HMTS Expedited Review Form for IDIs_12-12-19_FINAL for submission v3.pdf Expedited Review FORM	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Communication Support for the National Center for Emerging and Zoonotic Infectious Diseases; Anthrax Materials Testing

Agency IC Tracking Number:

0920-0572-20MU

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	0920-20MU	Screening/Eligibility Form	Attachment 1_CDC NCEZID_IDI screener_12-12-19_FINAL-revised V2.docx	Yes	Yes	Fillable Fileable
Form and Instruction	0920-20MU	Guide for Adults 65+	Attachment 2_CDC NCEZID_IDI Guide for Adults 65+_12-18-19_FINAL.docx	Yes	Yes	Fillable Fileable
Form and Instruction	0920-20MU	Guide for Parents	Attachment 3_CDC NCEZID_IDI Guide for Parents_12-18-19_FINAL.docx	Yes	Yes	Fillable Fileable
Form and Instruction	0920-20MU	Guide for ESL Adults	Attachment 4_CDC NCEZID_IDI Guide for ESL Adults_12-18-19_FINAL for submission.docx	Yes	Yes	Fillable Fileable
Form	0920-0572	Anthrax Antibiotics & Children Fact Sheet	Attachment 5_Anthrax Antibiotics and Children Fact Sheet.pdf	Yes	No	Fillable Fileable
Form	0920-0572	Anthrax Get Vaccinated Fact Sheet	Attachment 6_Anthrax Get Vaccinated Fact Sheet.pdf	Yes	No	Printable Only
Form	0920-0572	Anthrax Pregnancy Fact Sheet	Attachment 7_Anthrax Pregnancy Fact Sheet.pdf	Yes	No	Printable Only
Form	0920-0572	Anthrax General Fact Sheet	Attachment 8_Anthrax General Fact Sheet.pdf	Yes	No	Printable Only
Form	0920-0572	Anthrax POD Fact Sheet	Attachment 9_Anthrax POD Fact Sheet.pdf	Yes	No	Printable 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: 64

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	64	64
Annual IC Time Burden (Hours)	18	18
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Expedited Review Form	HMTS Expedited Review Form_Attachment B_NCEZID IDIs_v2.docx	04/20/2020
Protocol	CDC NCEZID Protocol_12-18-19_FINAL-revised V3.docx	04/20/2020
Determination of Non-applicability of Human Subjects Regulations	010220LM-NR-signed.pdf	04/20/2020
Expedited Review FORM	CDC NCEZID_HMTS Expedited Review Form for IDIs_12-12-19_FINAL for submission v3.pdf	04/20/2020

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