[OLSS] CDC OneLab REACH Formative Evaluation

[OS] CDC/ATSDR Formative Research and Tool Development

OMB: 0920-1154

IC ID: 263317

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
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Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
IC Document
IC Document
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Information Collection (IC) Details

View Information Collection (IC)

[OLSS] CDC OneLab REACH Formative Evaluation 0920-1154-24BB
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction n/a Single Sign-Up Survey 04_Attachment 1_OneLab REACH Single Sign-Up Survey_11-08-2023.docx Yes Yes Fillable Fileable
Form and Instruction n/a Post Course Evaluation Survey 05_Attachment 2_OneLab REACH Post Course Evaluation Survey_11-07-2023.docx Yes Yes Fillable Fileable
Form and Instruction n/a User Experience Survey 06_Attachment 3_OneLab REACH User Experience Survey_11-07-2023.docx Yes Yes Fillable Fileable
Form and Instruction n/a Mini Lesson and Job Aid Survey 07_Attachment 4_OneLab REACH Mini Lesson and Job Aid Survey_11-07-2023.docx Yes Yes Fillable Fileable
Form and Instruction n/a Pace and non-Pace Evaluation Survey 08_Attachment 5_OneLab REACH PACE and non-PACE Evaluation Survey_11-07-2023.docx Yes Yes Fillable Fileable

Workforce Management Training and Employment

 

50,000 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   100 %

  Requested Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 50,000 0 0 0 0 50,000
Annual IC Time Burden (Hours) 12,333 0 0 0 0 12,333
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
GenIC Request Template 01_Formative Research_GenIC Request_CDC OneLab REACH Evaluation_11-09-2023.docx 11/13/2023
SSA 02_Supporting Statement A_OneLab REACH_11-09-2023_final.docx 11/13/2023
SSB 03_Supporting Statement B_OneLab REACH_11-09-2023.docx 11/13/2023
Survey Invitation - PACE and non-PACE Evaluation 09_Attachment 6 _ Survey invitation_ Post Course_PACE and non-PACE Evaluation Survey_11-07-2023.docx 11/13/2023
Survey Invitation - Other Surveys 10_Attachment 7 _Survey invitation_Other Surveys_11-07-2023.docx 11/13/2023
One Lab REACH One Pager 11_Attachment 8_OneLab REACH One Pager.pdf 11/13/2023
Research Determination 12_Attachment 9_Project Determination_Human Subjects Research Determination.pdf 11/13/2023
SSA v2 02_Supporting Statement A_OneLab REACH_11-09-2023_final_CDC DLS 12.05.2023_clean.docx 12/07/2023
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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