[NCIPC] Formative Evaluation for Transportation Safety Resource for Action Tool

[OS] CDC/ATSDR Formative Research and Tool Development

OMB: 0920-1154

IC ID: 272172

Information Collection (IC) Details

View Information Collection (IC)

[NCIPC] Formative Evaluation for Transportation Safety Resource for Action Tool 0920-1154-25AV
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction n/a Email Invitation Att2_Email Invitations.docx Yes Yes Fillable Fileable
Form and Instruction n/a First Follow-up Email Att3_Follow up email First.docx Yes Yes Fillable Fileable
Form and Instruction n/a Second Follow-up Email Att4_Follow up email Second.docx Yes Yes Fillable Fileable
Form and Instruction n/a Semi-Structured Interview Guide Att1_Semi-Structured Interview Guide.docx Yes Yes Fillable Fileable

Health Health Care Services

 

145 0
   
State, Local, and Tribal Governments
 
   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 145 0 0 0 0 145
Annual IC Time Burden (Hours) 24 0 0 0 0 24
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Research Determination Att5_Research Determination.docx 11/06/2024
Privacy Act Determination Att6_Privacy Act Determination.pdf 11/06/2024
SSA Transportation Safey Resource for Action_SSA_GenIC_final.docx 11/06/2024
SSB Transportation Safey Resource for Action_SSB_GenIC.docx 11/06/2024
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