[OS] CDC/ATSDR Formative Research and Tool Development

ICR 202503-0920-028

OMB: 0920-1154

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Justification for No Material/Nonsubstantive Change
2025-03-25
Justification for No Material/Nonsubstantive Change
2025-03-25
Supplementary Document
2023-01-30
Supplementary Document
2023-01-30
Supplementary Document
2023-01-30
Supplementary Document
2023-01-30
Supplementary Document
2019-12-05
Supplementary Document
2019-12-05
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2019-12-05
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2019-12-05
Supporting Statement B
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Supporting Statement B
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2023-01-30
Supporting Statement A
2023-01-30
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Supplementary Document
2016-10-20
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ICR Details
0920-1154 202503-0920-028
Active 202210-0920-013
HHS/CDC 0920-1154-25-0061
[OS] CDC/ATSDR Formative Research and Tool Development
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 05/09/2025
Retrieve Notice of Action (NOA) 05/01/2025
  Inventory as of this Action Requested Previously Approved
03/31/2026 03/31/2026 03/31/2026
75,000 0 75,000
60,000 0 60,000
0 0 0

CDC/ATSDR requests an extension of a generic clearance to conduct formative research for developing new tools and methodologies to support agency research, surveillance, and program evaluation activities, and the development and assessment of multi-use tools. Non-Substantive Change Request submitted to modify language for compliance with EO 14168

US Code: 42 USC 241 Name of Law: PHSA
  
None

Not associated with rulemaking

  87 FR 43860 07/22/2022
87 FR 62852 10/17/2022
No

49
IC Title Form No. Form Name
(NCEZID) Focus Groups with Infectious Disease Physicians and Pharmacists on Antifungal Therapeutic Drug Monitoring n/a, n/a Antifungal TDM Focus Group Screener ,   Antifungal TDM Focus Group Guide
Creative Concept Testing on Antimicrobial Resistance 0920-1154, 0920-1154, 0920-1154, 0920-1154 Focus Group Screener for Consumers, Including Parents ,   Interview Screener for Healthcare Providers ,   Focus Group Guide for Consumers about Antimicrobial Resistance Concept Testing ,   Interview Guide for Healthcare Professionals about Antimicrobial Resistance Concept Testing
Feedback Survey for Community Counts Data Viz Tool 0920-1154 Feedback Survey for Community Counts Data Viz Tool
Formative Research for Spanish-Language Drug Overdose Messages n/a, n/a, n/a, n/a, n/a, n/a Qualitative Eligibility Screener (Phone) ,   Qualitative Eligibility Screener (Online) ,   Focus Group Moderator Guide ,   Interview Guide ,   Online Survey ,   Respondent Consent Form and Participants Email
In-Depth Interviews with Healthcare Professionals about C. Diff Materials 0920-1154-24ES, 0920-1154-24ES Antimicrobial Resistance Communications and Media Support Services ,   Antimicrobial Resistance Communications and Media Support Services_Guide HCPs (24ES)
Message Evaluation for CDC's Stop Overdose Campaigns (Broadcast Radio & Digital Ad Surveys) 0920-1154, 0920-1154 Stop Overdose Campaign Evaluation: Fentanyl and Naloxone Campaigns Survey - Broadcast Radio ,   Stop Overdose Campaign Evaluation: Fentanyl and Naloxone Campaigns Survey - Digital Ad
[CPR] Evaluation on Acceptability and Effectiveness of Pilot Project This is a Tabletop Exercise Simulation Tool (T.E.S.T.) 0920-23DA, 0920- 23DF, 0920-23DF Attachment B_Immediate Post Exercise Survey Questions ,   Attachment C_Follow Up Survey Questions ,   Attachment D_Focus Group Script
[CPR] Pilots Evaluation of Interventions for Building Resilience for State and Local Health Department Staff Responding to Public Health Emergencies 0920-24EB, 0920-24EB, 0920-24EB, 0920-24EB Pilot Evaluation Pre-Implementation Survey ,   Pilot Evaluation POST-Implementation Survey ,   Staff Focus Groups ,   Leader Focus Groups
[CPR] Successes of and Barriers to Distribution of Personal Protective Equipment (PPE) During the 2024 Dairy Cattle H5N1 Outbreak n/a, n/a Personal Protective Equipment Key Informant Interviews ,   Online Survey Questionnaire (to be amended as appropriate following review of KII responses)
[CPR] This is a T.E.S.T. 0920-24GC, 0920-24GC, 0920-24GC Initial Survey ,   Follow- up Survey ,   Focus Group
[CSELS/DLS]CDC OneLab Network Formative Evaluation 0920-1154-24AR 04_Attachment 1_OneLab Network Survey_10-26-2023
[NCBDDD](genIC) Feedback Survey for Community Counts Data Viz Tool 0920-1154 Feedback Survey for Community Counts Data Viz Tool
[NCCDPHP] Formative Evaluation, Implementation and Rapid Evaluation (FIRE) of Diabetes Self-Management in Disproportionately Affected Populations (DAPs) Provider Listening Sessions (Phase I) None, None, None, None DSMES Provider Screener Script and Guidelines ,   Listening Sessions Guide for Providers Who Support People with Learning Disabilities ,   Listening Sessions Guide for Providers Who Support Minority Women ,   Listening Sessions Guide for Providers Who Support People with Mental Health Disorders
[NCEH] Evaluating Content and Usability of CDC's Clinical Heat Guidance 0920-1154, 0920-1154, 0920-1154, 0920-1154 Physician - Survey for Community Health Center Physicians and Non-Physicians on CDC’s Clinician Heat Guidance ,   Non-Physician - Survey for Community Health Center Physicians and Non-Physicians on CDC’s Clinician Heat Guidance ,   Physician - Survey for Community Health Center Physicians and Non-Physicians on CDC’s Clinician Heat Guidance_Spanish ,   Non-Physician - Survey for Community Health Center Physicians and Non-Physicians on CDC’s Clinician Heat Guidance_Spanish
[NCEZID] (genIC) Healthcare Provider Communication Evaluation: Assessing Foodborne Illness and Waterborne Illness Prevention Messages, Knowledge, and Attitudes 0920-1154, 0920-1154, 0920-1154, 0920-1154 Screening/Eligibility Form for Interviews/Focus Groups (24CU) ,   Eligible Participant Screener (24CU) ,   Moderator or Interviewer Guide (24CU) ,   MESSAGES to be TESTED (24CU)
[NCEZID] Communication Evaluation Assessing Foodborne, Waterborne and Mycotic Disease Prevention 0920-1154, 0920-1154, 0920-1154, 0920-1154, 0920-1154 Eligibility Screener - Focus Group ,   Eligible Participant Screener - Focus Group ,   Eligibility Screener - Survey ,   Focus Group Moderator Guide ,   Rapid Online Survey
[NCEZID] Focus Groups with Healthcare Providers on Endemic Mycoses n/a, n/a, n/a Focus Group Screener ,   Focus Group Consent Form ,   Focus Group Guide
[NCEZID] Food Safety Communication Evaluation: Assessing Food Safety Messages, Knowledge, and Attitudes None, None, None, None, None Eligibility Screener for Focus Group ,   [Additional] Eligible Participant Screener for Focus Group ,   Focus Group Moderator Guide ,   Eligibility Screener for Rapid Survey ,   Rapid Survey
[NCEZID] Harmful Algal Blooms Communication Evaluation 0920-1154, 0920-1154, 0920-1154 Screening/Eligibility Form for Focus Groups (24CX) ,   Eligible Participant Screener for Focus Group (24CX) ,   Focus Group Moderator Guide (24CX)
[NCEZID] Hospital System Approach to Collecting Race, Ethnicity, and Language Data 092061154 NHSN’s REaLI Effort
[NCEZID] In-depth Interviews with Hispanic or Latina Women on the Topic of Climate Change and Infectious Diseases 0920-1154, 0920-1154, 0920-1154 RECRUITMENT SCREENER In-Depth Interviews with Hispanic or Latina Women ,   CONSENT FORM In-Depth Interviews with Hispanic or Latina Women ,   MODERATOR INTERVIEW GUIDE In-Depth Interviews with Hispanic or Latina Women
[NCEZID] Public Health Communications Messages and Materials Testing Focused on Antimicrobial Resistance Among the U.S. General Population Pilot Data Collection Project n/a, n/a, n/a Recruitment Screener ,   Technology Pre-check ,   AR Formative Evaluation Interview Guide
[NCEZID] Wastewater Surveillance Communication Evaluation: Assessing Water Surveillance Messages, Knowledge, and Attitudes (24CP) 0920-1154, 0920-1154, 0920-1154 Screening/Eligibility Form for Focus Groups ,   Eligible Participant Screener for Focus Group (24CP) ,   Focus Group Moderator Guide (24CP)
[NCIPC] Adolescent Mental Health Journey Mapping Project n/a, n/a, n/a, n/a, n/a Screening Survey and Parental Consent ,   LGBTQ+ Teen Screening Survey ,   Adolescent Interview Discussion Guide ,   Adolescent Focus Group Discussion Guide ,   Adolescent Brainstorming Session Discussion Guide
[NCIPC] Adoption Accelerator Social Network Analysis (Formative Research) 0920-24GZ Sheriffs’ Advice-Seeking Survey
[NCIPC] Adverse Childhood Experiences Prevention Message Development 0920-1154, 0920-1154 , 0920-1154 (24IP), 0920-1154 (24IP), 0920-1154 (24IP) ACEs Survey and Consent - Revised 25MAR2025 ,   ACEs Focus Group Participant Screener - Revised 25MAR2025 ,   ACEs Focus Group Consent Form ,   ACEs Partner Interview Consent Form ,   ACEs Partner Interview Guide
[NCIPC] Caring Adults Perceptions on Teen Mental Health 0920-1154 (24HL), 0920-1154 (2HL) ADULT MENTOR SCREENING SURVEY ,   INTERVIEW DISCUSSION GUIDE
[NCIPC] Caring Adults Perceptions on Teen Mental Health 0920-24HY Screening Survey
[NCIPC] Formative Evaluation for Transportation Safety Resource for Action Tool n/a, n/a, n/a, n/a Email Invitation ,   First Follow-up Email ,   Second Follow-up Email ,   Semi-Structured Interview Guide
[NCIPC] Formative Research for Firearm Violence and Community Violence Messaging n/a, n/a, n/a, n/a, n/a, n/a Firearm Injury and Death Survey and Consent ,   Firearm Injury and Death Focus Group ,   Firearm Injury and Death Focus Group Screening ,   Community Violence Survey and Consent ,   Community Violence Focus Group ,   Community Violence Focus Group Screening
[NCIPC] Screening Survey for focus groups and interviews 0920-1154-24CC, 0920-1154 (24CC), 0920-1154 (24CC) Recruitment Materials - Focus Groups and Interviews - AI/AN Adults ,   Focus Group Guide AI/AN Adults ,   Interview Guide Tribal Health Care Providers (HCPs) and Tribal Leaders
[NCIPC] Youth Audience Message Testing of Substance Use Prevention Messages n/a, n/a Parent and Child Screeners ,   Activity Guide
[NCZEID] CDC One Health Zoonotic Disease Prioritization (OHZDP) Evaluation Process 0920-24EH, 0920-24EH, 0920-24EH, 0920-24EH, 0920-24EH, 0920-24EH, 0920-24EH OHZDP Interest Intake Form ,   OHZDP Baseline Survey ,   OHZDP Facilitator Training Survey ,   OHZDP Participant Survey ,   OHZDP Next Steps Tracker ,   OHZDP Post Workshop Survey ,   OHZDP Retrospective Survey
[NCZEID] Focus Groups and In-Depth Interviews with Travelers and Travel Medicine Specialists 0920-24ID, 0920-24ID, 0920-24ID, 0920-24ID, 0920-24ID, 0920-24ID Recruitment Screener ,   Consent Form ,   Focus Group Guide ,   Interview Recruitment Screener ,   Travel Med Specialists - Consent Form ,   Travel Med Specialists - Interview Guide
[NCZEID] Focus Groups and Interviews with Consumers and HCPs on Alpha-Gal Syndrome 0920-24CA, 0920-24CA, 0920-24CA, 0920-24CA Attachment 1 - CDC DVBD - AGS Data Collection - Focus Group Screener - 12.14.23 ,   Attachment 5 - CDC DVBD - AGS Data Collection - Focus Group Discussion Guide - 12.14.23 ,   Attachment 2 - CDC DVBD - AGS Data Collection - Interview Screener - 12.14.23 ,   Attachment 6 - CDC DVBD - AGS Data Collection - Interview Discussion Guide - 12.14.23
[NCZEID] Focus Groups with Consumers on Oropouche 0920-25BP, 0920-25BP Focus Group Screener ,   Focus Group Discussion Guide
[NCZEID] Formative Communications Assessment on Antimicrobial Resistance 0920-24DM, 0920-24DM, 0920-24DM, 0920-24DM, 0920-24DM, 0920-24DM, 0920-24DM, 0920-24DM, 0920-24DM Focus Group Screener ,   Focus Group Guide for HCPs about Antimicrobial Resistance ,   Interview Guide for Medical Association about Antimicrobial Resistance ,   Focus Group Screener for Consumers, Including Parents, and Caregivers ,   Focus Group Guide for General Consumers about Antimicrobial Resistance ,   Focus Group Guide for Caregivers about Antimicrobial Resistance ,   In-Depth Interview Screener for Consumers with Previous Antimicrobial-Resistant Infections ,   Interview Guide for Consumers with Past Antimicrobial Resistant Infections on Antimicrobial Resistance ,   Survey on Antimicrobial Resistance Among National Policy Audiences
[NCZEID] Formative Evaluation and Message Testing of Antimicrobial Resistance Among Sandwich Generation Consumers 0920-25BU, 0920-25BU, 0920-25BU Sandwich Generation Consumer Survey ,   Sandwich Generation ConsumerScreener ,   Sandwich Generation Consumer Focus Group Discussion Guide
[NCZEID] Harmful Algal Blooms Shellfish Communication Evaluation 25-0003, 25-0003, 25-0003 Screener ,   Eligibility Screener ,   Moderator Guide
[NICPC] Child Abuse and Neglect Prevention Message Development 0920-24BQ, 0920-24BQ, 0920-24BQ Att 1. CAN Survey and Consent ,   Att 3. CAN Focus Group Eligible Participant Screener 11.21.23 ,   Att 3. CAN Focus Group Eligible Participant Screener rev
[NIOSH] Assessment of Task-Based Exposures That May Affect Reproductive Health in Nail Salon Employees 0920-1154, 0920-1154 (24AA) Nail Salon Exposure Study Questionnaire (24AA) ,   Nail Salon Exposure Study Questionnaire Feedback Form
[NIOSH] Assessment of Task-Based Exposures that may Affect Reproductive Health in Nail Salon Employees 0920-1154, 0920-1154 Nail Salon Exposure Study Questionnaire (24FD) ,   Nail Salon Exposure Study Questionnaire Feedback Form (24FD)
[NIOSH] Developing a Framework to Identify and Address Job Hazards Unique to Women Mine Workers n/a, n/a, n/a Focus Group Conversation Guide for Women Mine Workers ,   Focus Group Conversation Guide for Mine Managers and HS Professionals ,   Demo
[NIOSH] Formative Assessment of the Information Needs to Prevent Skin Cancer Among Spanish speaking Outdoor Workers 0920-23GU Attmt III- Focus Group Guide - English_Spanish
[NIOSH] Increasing the Impact of NIOSH Heat Stress Products in Outdoor Worker Populations n/a, n/a, n/a, n/a Focus Group Guide for Employers/Supervisors ,   Focus Group Guide for Employees - English/Spanish ,   Training for Employers - Pre-test ,   Training for Employers - Post-test
[NIOSH] Keeping Cool: Evaluating NIOSH's Heat Stress Training Module to Inform Resource Development and Research 0920-1154, 0920-1154, 0920-1154, 0920-1154, 0920-1154, 0920-1154 Script for Initial Interview with OSH Managers and Trainers ,   Script for Post-Preparation Interview with Osh Managers and Trainers (Prior to Training) ,   Script for POST-TRAINING INTERVIEW with OSH Managers and Trainers ,   Employee Survey ,   Employee Focus Group Questions ,   NIOSH Heat Stress Training Log
[NOISH] Customer Discovery Interviews with Five NIOSH Audiences
[OLSS] CDC OneLab REACH Formative Evaluation n/a, n/a, n/a, n/a, n/a Single Sign-Up Survey ,   Post Course Evaluation Survey ,   User Experience Survey ,   Mini Lesson and Job Aid Survey ,   Pace and non-Pace Evaluation Survey
[OPHDST] Foundational User Interviews with the Public 0920-1154, 0920-1154 Foundational Screener (25AB) ,   Foundational Data Collection Interview Scripts (25AB)

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 75,000 75,000 0 0 0 0
Annual Time Burden (Hours) 60,000 60,000 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$474,091
No
    No
    No
No
No
No
No
Jeffrey Zirger 404 639-7118 [email protected]

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
05/01/2025


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