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[NCZEID] CDC One Health Zoonotic Disease Prioritization (OHZDP) Evaluation Process
[OS] CDC/ATSDR Formative Research and Tool Development
OMB: 0920-1154
IC ID: 266547
OMB.report
HHS/CDC
OMB 0920-1154
ICR 202503-0920-028
IC 266547
( )
Documents and Forms
Document Name
Document Type
Form 0920-24EH
[NCZEID] CDC One Health Zoonotic Disease Prioritization (OHZDP) Evaluation Process
Form
Form 0920-24EH
[NCZEID] CDC One Health Zoonotic Disease Prioritization (OHZDP) Evaluation Process
Form
0920-24EH OHZDP Interest Intake Form
Attachment 1_OHZDP Interest Intake Form.docx
Form
0920-24EH OHZDP Interest Intake Form
Attachment 1_OHZDP Interest Intake Form.docx
Form
0920-24EH OHZDP Baseline Survey
Attachment 2_OHZDP Baseline Survey.docx
Form
0920-24EH OHZDP Baseline Survey
Attachment 2_OHZDP Baseline Survey.docx
Form
0920-24EH OHZDP Facilitator Training Survey
Attachment 3_OHZDP Facilitator Training Survey.docx
Form
0920-24EH OHZDP Facilitator Training Survey
Attachment 3_OHZDP Facilitator Training Survey.docx
Form
0920-24EH OHZDP Participant Survey
Attachment 4_OHZDP Participant Survey.docx
Form
0920-24EH OHZDP Participant Survey
Attachment 4_OHZDP Participant Survey.docx
Form
0920-24EH OHZDP Next Steps Tracker
Attachment 5_OHZDP Next Steps Tracker.docx
Form
0920-24EH OHZDP Next Steps Tracker
Attachment 5_OHZDP Next Steps Tracker.docx
Form
0920-24EH OHZDP Post Workshop Survey
Attachment 6_OHZDP Post Workshop Survey.docx
Form
0920-24EH OHZDP Post Workshop Survey
Attachment 6_OHZDP Post Workshop Survey.docx
Form
0920-24EH OHZDP Retrospective Survey
Attachment 7_OHZDP Retrospective Survey.docx
Form
0920-24EH OHZDP Retrospective Survey
Attachment 7_OHZDP Retrospective Survey.docx
Form
GenIC Request Template.docx
GenIC Request
IC Document
GenIC Request Template.docx
GenIC Request
IC Document
Supporting Statement A.docx
SSA
IC Document
Supporting Statement A.docx
SSA
IC Document
Supporting Statement B.docx
SSB
IC Document
Supporting Statement B.docx
SSB
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
[NCZEID] CDC One Health Zoonotic Disease Prioritization (OHZDP) Evaluation Process
Agency IC Tracking Number:
0920-1154-24EH
IC Status:
Unchanged
Obligation to Respond:
Voluntary
CFR Citation:
5 CFR 1320.5
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
0920-24EH
OHZDP Interest Intake Form
Attachment 1_OHZDP Interest Intake Form.docx
Yes
Yes
Fillable Fileable
Form
0920-24EH
OHZDP Baseline Survey
Attachment 2_OHZDP Baseline Survey.docx
Yes
Yes
Fillable Fileable
Form
0920-24EH
OHZDP Facilitator Training Survey
Attachment 3_OHZDP Facilitator Training Survey.docx
Yes
Yes
Fillable Fileable
Form
0920-24EH
OHZDP Participant Survey
Attachment 4_OHZDP Participant Survey.docx
Yes
Yes
Fillable Fileable
Form
0920-24EH
OHZDP Next Steps Tracker
Attachment 5_OHZDP Next Steps Tracker.docx
Yes
Yes
Fillable Fileable
Form
0920-24EH
OHZDP Post Workshop Survey
Attachment 6_OHZDP Post Workshop Survey.docx
Yes
Yes
Fillable Fileable
Form
0920-24EH
OHZDP Retrospective Survey
Attachment 7_OHZDP Retrospective Survey.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Consumer Health and Safety
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
602
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
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
602
0
0
0
0
602
Annual IC Time Burden (Hours)
161
0
0
0
0
161
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
GenIC Request
GenIC Request Template.docx
04/03/2024
SSA
Supporting Statement A.docx
04/03/2024
SSB
Supporting Statement B.docx
04/03/2024
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.