[NCZEID] Focus Groups and In-Depth Interviews with Travelers and Travel Medicine Specialists

[OS] CDC/ATSDR Formative Research and Tool Development

OMB: 0920-1154

IC ID: 270207

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Information Collection (IC) Details

View Information Collection (IC)

[NCZEID] Focus Groups and In-Depth Interviews with Travelers and Travel Medicine Specialists
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 0920-24ID Recruitment Screener Attch 1 - Intl Travelers - Screener - English 08 08 2024.docx Yes Yes Fillable Fileable
Form 0920-24ID Consent Form Attch 2 - Intl Travelers - Consent Form - English 08 08 2024.docx Yes Yes Fillable Fileable
Form 0920-24ID Focus Group Guide Attch 3 - Intl Travelers - Focus Group Guide - English 08 08 2024.docx Yes Yes Fillable Fileable
Form 0920-24ID Interview Recruitment Screener Attch 7 - Travel Med Specialists - Screener_08 08 2024.docx Yes Yes Fillable Fileable
Form 0920-24ID Travel Med Specialists - Consent Form Attch 8 - Travel Med Specialists - Consent Form 08 08 2024.docx Yes Yes Fillable Fileable
Form 0920-24ID Travel Med Specialists - Interview Guide Attch 9 - Travel Med Specialists - IDI Guide 08 08 2024.docx Yes Yes Fillable Fileable

Health Illness Prevention

 

672 0
   
Individuals or Households
 
   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 672 0 0 0 0 672
Annual IC Time Burden (Hours) 132 0 0 0 0 132
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Recruitment Screener_ Spanish Attch 4 - Intl Travelers - Screener - Spanish 08 08 2024.docx 08/16/2024
Consent Form_ Spanish Attch 5 - Intl Travelers - Consent Form - Spanish 08 08 2024.docx 08/16/2024
Consent Form - Spanish Attch 5 - Intl Travelers - Consent Form - Spanish 08 08 2024.docx 08/16/2024
Human Subjects Determination Attch 10- Human Subjects Determination.pdf 08/16/2024
MEMO_ GenIC GenIC Request Form 08 08 2024.docx 08/16/2024
SSA Supporting Statement A 8 08 2024.docx 08/16/2024
SSB Supporting Statement B 08 08 2024.docx 08/16/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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