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[CPR] Pilots Evaluation of Interventions for Building Resilience for State and Local Health Department Staff Responding to Public Health Emergencies
[OS] CDC/ATSDR Formative Research and Tool Development
OMB: 0920-1154
IC ID: 267344
OMB.report
HHS/CDC
OMB 0920-1154
ICR 202503-0920-028
IC 267344
( )
Documents and Forms
Document Name
Document Type
Form 0920-24EB
[CPR] Pilots Evaluation of Interventions for Building Resilience for State and Local Health Department Staff Responding to Public Health Emergencies
Form
Form 0920-24EB
[CPR] Pilots Evaluation of Interventions for Building Resilience for State and Local Health Department Staff Responding to Public Health Emergencies
Form
0920-24EB Pilot Evaluation Pre-Implementation Survey
AttA-SurveyPrePost_4-22-2024.docx
Form
0920-24EB Pilot Evaluation Pre-Implementation Survey
AttA-SurveyPrePost_4-22-2024.docx
Form
0920-24EB Pilot Evaluation POST-Implementation Survey
AttA-SurveyPrePost_4-22-2024.docx
Form
0920-24EB Pilot Evaluation POST-Implementation Survey
AttA-SurveyPrePost_4-22-2024.docx
Form
0920-24EB Staff Focus Groups
AttC-FocusGroup-Staff.docx
Form
0920-24EB Staff Focus Groups
AttC-FocusGroup-Staff.docx
Form
0920-24EB Leader Focus Groups
AttC-FocusGroup-Staff.docx
Form
0920-24EB Leader Focus Groups
AttC-FocusGroup-Staff.docx
Form
ORR-0920-1154-GenIRequestTemplate-BuildingResilience.docx
GenIC Request
IC Document
ORR-0920-1154-GenIRequestTemplate-BuildingResilience.docx
GenIC Request
IC Document
ORR-SSA-1154-BuildingResilience (1).docx
SSA
IC Document
ORR-SSA-1154-BuildingResilience (1).docx
SSA
IC Document
ORR-SSB-1154-BuildingResilience.docx
SSB
IC Document
ORR-SSB-1154-BuildingResilience.docx
SSB
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
[CPR] Pilots Evaluation of Interventions for Building Resilience for State and Local Health Department Staff Responding to Public Health Emergencies
Agency IC Tracking Number:
0920-1154-24EB
IC Status:
Unchanged
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
0920-24EB
Pilot Evaluation Pre-Implementation Survey
AttA-SurveyPrePost_4-22-2024.docx
Yes
Yes
Fillable Fileable
Form
0920-24EB
Pilot Evaluation POST-Implementation Survey
AttA-SurveyPrePost_4-22-2024.docx
Yes
Yes
Fillable Fileable
Form
0920-24EB
Staff Focus Groups
AttC-FocusGroup-Staff.docx
Yes
Yes
Fillable Fileable
Form
0920-24EB
Leader Focus Groups
AttC-FocusGroup-Staff.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:
884
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
884
0
0
0
0
884
Annual IC Time Burden (Hours)
284
0
0
0
0
284
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
GenIC Request
ORR-0920-1154-GenIRequestTemplate-BuildingResilience.docx
04/30/2024
SSA
ORR-SSA-1154-BuildingResilience (1).docx
04/30/2024
SSB
ORR-SSB-1154-BuildingResilience.docx
04/30/2024
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.