Form Approved
OMB Control No.: 0920-1154
Expiration
date: 03/31/2026
Do you want to
help improve the health information available to the public so
everyone can make informed decisions based on data?
We’re conducting a study about health information and data, and we want to hear your thoughts. We’re looking for people who [add characteristics here] to take part.
This is not a sales call, and your participation won’t affect your health insurance now or in the future. As a thank you, we’re offering $100 for your time.
To learn more about how you can participate, visit [insert URL here].
Public reporting burden of this collection of information is estimated to average 65 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB Control Number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to CDC/ATSDR Reports Clearance Officer, 1600 Clifton Road NE, MS H21-8, Atlanta, Georgia 30333; ATTN: PRA 0920-1154
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| Author | Gadsden-Knowles, Kim (CDC/IOD/OPHDST) |
| File Modified | 0000-00-00 |
| File Created | 2025-05-19 |