[PHIC/NCEZID] Use and Acceptability of the Model Aquatic Health Code (2024)

[NCSTLTPHIW] Information Collections to Advance State, Tribal, Local and Territorial (STLT) Governmental Agency System Performance, Capacity, and Program Delivery

OMB: 0920-0879

IC ID: 269705

Documents and Forms

Document Name Document Type
Form 0920-0879 [PHIC/NCEZID] Use and Acceptability of the Model Aquatic Health Code (2024) Form
0920-0879 MAHC Use and Acceptability Survey (EpiInfo Web Survey) AttB_MAHC_UA_SurveyV2.pdf epiinfosecurewebsurvey.cdc.gov/Survey/6efb7a91-f9b2-48c0-9013-cc370b2d6b65/1 Form
0920-0879 Focus Group Discussion Guide—Moderate MAHC Use and Implementation AttD1_FGGuide_Lim.pdf Form and Instruction
0920-0879 Focus Group Discussion Guide—Moderate MAHC Use and Implementation AttD2_FGGuide_Mod.pdf Form and Instruction
0920-0879 Focus Group Discussion Guide—Advanced MAHC Use and Implementation AttD3_FGGuide_Adv.pdf Form and Instruction
0920-0879 Case Study In-Depth Interview Guide AttE_CS_IDIGuide.pdf Form and Instruction
MAHC_SSA_07232024_clean.docx SSA IC Document
MAHC_SSB_07232024_clean.docx SSB IC Document
AttC_FocusGroupPlacement.pdf Algorithm for Focus Group Placement IC Document
AttF_CS_SurveyConsentForm.pdf Survey Consent Form IC Document
AttG1_SurveyRecEmail.pdf Survey Recruitment Email IC Document
AttG2_SurveyRec_PtListserv.pdf Survey Recruitment: Partner Listserv Email IC Document
AttG3_SurveyRemEmail.pdf Survey Reminder Email IC Document
AttH_SnSamRecEmail.pdf Survey Snowball Sampling Recruitment Email IC Document
AttI1_FGInvEmail.pdf Focus Group Invitation Email IC Document
AttI2_FGConfirmationEmail.pdf Focus Group Confirmation Email IC Document
AttI3_FGReminderEmail.pdf Focus Group Reminder Email IC Document
AttJ_FGConsent.pdf Focus Group Consent Form IC Document
AttK1_CSRecEmail.pdf Case Study Recruitment Email IC Document
AttK2_CSConfEmail.pdf Case Study Confirmation Email IC Document
AttL_CSConsent.pdf Case Study Consent Form IC Document
MAHC_STARS_03072024.pdf Determination of Non-applicability of Human Subjects Regulations IC Document