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[NCZEID] Formative Evaluation and Message Testing of Antimicrobial Resistance Among Sandwich Generation Consumers
[OS] CDC/ATSDR Formative Research and Tool Development
OMB: 0920-1154
IC ID: 272892
OMB.report
HHS/CDC
OMB 0920-1154
ICR 202503-0920-028
IC 272892
( )
Documents and Forms
Document Name
Document Type
Form 0920-25BU
[NCZEID] Formative Evaluation and Message Testing of Antimicrobial Resistance Among Sandwich Generation Consumers
Form
Form 0920-25BU
[NCZEID] Formative Evaluation and Message Testing of Antimicrobial Resistance Among Sandwich Generation Consumers
Form
0920-25BU Sandwich Generation Consumer Survey
Attachment 1 - ARX_Sandwich Generation Survey and Focus Groups Consumer Survey_v5FINAL_11.26.24 (2).docx
Form
0920-25BU Sandwich Generation Consumer Survey
Attachment 1 - ARX_Sandwich Generation Survey and Focus Groups Consumer Survey_v5FINAL_11.26.24 (2).docx
Form
0920-25BU Sandwich Generation ConsumerScreener
Attachment 2 - ARX_Sandwich Generation Survey and Focus Groups Focus Group Screener_v5FINAL_11.26.24 (1).docx
Form
0920-25BU Sandwich Generation ConsumerScreener
Attachment 2 - ARX_Sandwich Generation Survey and Focus Groups Focus Group Screener_v5FINAL_11.26.24 (1).docx
Form
0920-25BU Sandwich Generation Consumer Focus Group Discussion Guid
Attachment 4 - ARX_Sandwich Generation Survey and Focus Groups Focus Group Discussion Guide_v4FINAL_11.25.24 (2).docx
Form
0920-25BU Sandwich Generation Consumer Focus Group Discussion Guid
Attachment 4 - ARX_Sandwich Generation Survey and Focus Groups Focus Group Discussion Guide_v4FINAL_11.25.24 (2).docx
Form
ARX_Sandwich Generation Survey and Focus Groups OMB GenIC Request_v4_11.25.24.docx
GenIC Request
IC Document
ARX_Sandwich Generation Survey and Focus Groups OMB GenIC Request_v4_11.25.24.docx
GenIC Request
IC Document
ARX_Sandwich Generation Survey and Focus Groups OMB Supporting Statement A_v4_11.25.24_v2 (1).docx
SSA
IC Document
ARX_Sandwich Generation Survey and Focus Groups OMB Supporting Statement A_v4_11.25.24_v2 (1).docx
SSA
IC Document
ARX_Sandwich Generation Survey and Focus Groups OMB Supporting Statement B_v4_11.25.24 (1).docx
SSB
IC Document
ARX_Sandwich Generation Survey and Focus Groups OMB Supporting Statement B_v4_11.25.24 (1).docx
SSB
IC Document
Attachment 3 - ARX_Sandwich Generation Consent Form_v4FINAL_11.25.24 (1).docx
Consent form
IC Document
Attachment 3 - ARX_Sandwich Generation Consent Form_v4FINAL_11.25.24 (1).docx
Consent form
IC Document
Attachment 6 - ARX_Sandwich Generation Survey and Focus Groups Stimuli Deck_v4_11.25.24 (2).pdf
Stimuli Deck
IC Document
Attachment 6 - ARX_Sandwich Generation Survey and Focus Groups Stimuli Deck_v4_11.25.24 (2).pdf
Stimuli Deck
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
[NCZEID] Formative Evaluation and Message Testing of Antimicrobial Resistance Among Sandwich Generation Consumers
Agency IC Tracking Number:
0920-25BU
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
0920-25BU
Sandwich Generation Consumer Survey
Attachment 1 - ARX_Sandwich Generation Survey and Focus Groups Consumer Survey_v5FINAL_11.26.24 (2).docx
Yes
Yes
Fillable Fileable
Form
0920-25BU
Sandwich Generation ConsumerScreener
Attachment 2 - ARX_Sandwich Generation Survey and Focus Groups Focus Group Screener_v5FINAL_11.26.24 (1).docx
Yes
Yes
Fillable Fileable
Form
0920-25BU
Sandwich Generation Consumer Focus Group Discussion Guide
Attachment 4 - ARX_Sandwich Generation Survey and Focus Groups Focus Group Discussion Guide_v4FINAL_11.25.24 (2).docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Public Health Monitoring
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
1,904
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
1,904
0
0
0
0
1,904
Annual IC Time Burden (Hours)
302
0
0
0
0
302
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
GenIC Request
ARX_Sandwich Generation Survey and Focus Groups OMB GenIC Request_v4_11.25.24.docx
12/16/2024
SSA
ARX_Sandwich Generation Survey and Focus Groups OMB Supporting Statement A_v4_11.25.24_v2 (1).docx
12/16/2024
SSB
ARX_Sandwich Generation Survey and Focus Groups OMB Supporting Statement B_v4_11.25.24 (1).docx
12/16/2024
Consent form
Attachment 3 - ARX_Sandwich Generation Consent Form_v4FINAL_11.25.24 (1).docx
12/16/2024
Stimuli Deck
Attachment 6 - ARX_Sandwich Generation Survey and Focus Groups Stimuli Deck_v4_11.25.24 (2).pdf
12/16/2024
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.