Information Collection

[NCEH] EHS-Net Outbreak Prevention & Response Practices Study

IC 264607 under ICR 202108-0920-007 · OMB 0920-0792.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0792 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
[NCEH] EHS-Net Outbreak Prevention & Response Practices Study	Form and Instruction
Manager Interview A3 Manager InterviewFINAL_revOS.docx	Form and Instruction
Worker Interview A4 Worker InterviewFINAL_revOS.docx	Form and Instruction
Observation A5 ObservationFINAL_revOS.docx	Form and Instruction
Recruitment Script A6 - Recruitment Script_RevOS.docx	Form and Instruction
A1 Auth Legislation.docx Authorizing Legislation	IC Document
A2 EHS-Net Publications.docx EHS-NET Publications	IC Document
7479 Exempt Research Approval.pdf Research Determination	IC Document
OPRStudyProtocol_revOS 20240118.docx Study Protocol	IC Document
EHS-Net OPR SSAv2_OS_final.docx SSA	IC Document
EHS-Net OPR SSB_revOS.docx SSB	IC Document

IC Title:

[NCEH] EHS-Net Outbreak Prevention & Response Practices Study

Agency IC Tracking Number:

0920-0792-24CE

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	n/a	Manager Interview	A3 Manager InterviewFINAL_revOS.docx	Yes	No	Fillable Fileable
Form and Instruction	n/a	Worker Interview	A4 Worker InterviewFINAL_revOS.docx	Yes	No	Fillable Fileable
Form and Instruction	n/a	Observation	A5 ObservationFINAL_revOS.docx	Yes	No	Fillable Fileable
Form and Instruction	n/a	Recruitment Script	A6 - Recruitment Script_RevOS.docx	Yes	No	Fillable Fileable

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 2,110

Number of Respondents for Small Entity: 1,055

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	2,110	2,110
Annual IC Time Burden (Hours)	549	549
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Authorizing Legislation	A1 Auth Legislation.docx	01/24/2024
EHS-NET Publications	A2 EHS-Net Publications.docx	01/24/2024
Research Determination	7479 Exempt Research Approval.pdf	01/24/2024
Study Protocol	OPRStudyProtocol_revOS 20240118.docx	01/24/2024
SSA	EHS-Net OPR SSAv2_OS_final.docx	01/24/2024
SSB	EHS-Net OPR SSB_revOS.docx	01/24/2024

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