Information Collection

[NCZEID] CDC One Health Zoonotic Disease Prioritization (OHZDP) Evaluation Process

IC 266547 under ICR 202503-0920-028 · OMB 0920-1154.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Form 0920-24EH
[NCZEID] CDC One Health Zoonotic Disease Prioritization (OHZDP) Evaluation Process
Form
Form 0920-24EH
OHZDP Interest Intake Form [NCZEID] CDC One Health Zoonotic Disease Prioritization (OHZDP) Evaluation Process
Form
Form 0920-24EH
OHZDP Baseline Survey [NCZEID] CDC One Health Zoonotic Disease Prioritization (OHZDP) Evaluation Process
Form
Form 0920-24EH
OHZDP Facilitator Training Survey [NCZEID] CDC One Health Zoonotic Disease Prioritization (OHZDP) Evaluation Process
Form
Form 0920-24EH
OHZDP Participant Survey [NCZEID] CDC One Health Zoonotic Disease Prioritization (OHZDP) Evaluation Process
Form
Form 0920-24EH
OHZDP Next Steps Tracker [NCZEID] CDC One Health Zoonotic Disease Prioritization (OHZDP) Evaluation Process
Form
Form 0920-24EH
OHZDP Post Workshop Survey [NCZEID] CDC One Health Zoonotic Disease Prioritization (OHZDP) Evaluation Process
Form
Form 0920-24EH
OHZDP Retrospective Survey [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)

layout table

Information Collection Instruments:
table that charts list of instruments
Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 0920-24EH Yes Yes Fillable Fileable
Form 0920-24EH Yes Yes Fillable Fileable
Form 0920-24EH Yes Yes Fillable Fileable
Form 0920-24EH Yes Yes Fillable Fileable
Form 0920-24EH Yes Yes Fillable Fileable
Form 0920-24EH Yes Yes Fillable Fileable
Form 0920-24EH Yes Yes Fillable Fileable

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  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
table that charts IC Documents
Title Document Date Uploaded
GenIC Request 04/03/2024
SSA 04/03/2024
SSB 04/03/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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