Information Collection

[NCZEID] Formative Evaluation and Message Testing of Antimicrobial Resistance Among Sandwich Generation Consumers

IC 272892 under ICR 202503-0920-028 · OMB 0920-1154.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1154 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 0920-25BU [NCZEID] Formative Evaluation and Message Testing of Antimicrobial Resistance Among Sandwich Generation Consumers	Form
Form 0920-25BU Sandwich Generation Consumer Survey [NCZEID] Formative Evaluation and Message Testing of Antimicrobial Resistance Among Sandwich Generation Consumers	Form
Form 0920-25BU Sandwich Generation ConsumerScreener [NCZEID] Formative Evaluation and Message Testing of Antimicrobial Resistance Among Sandwich Generation Consumers	Form
Form 0920-25BU Sandwich Generation Consumer Focus Group Discussion Guide [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:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	0920-25BU	Yes	Yes	Fillable Fileable
Form	0920-25BU	Yes	Yes	Fillable Fileable
Form	0920-25BU	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 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	1,904	1,904
Annual IC Time Burden (Hours)	302	302
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
GenIC Request		12/16/2024
SSA		12/16/2024
SSB		12/16/2024
Consent form		12/16/2024
Stimuli Deck		12/16/2024

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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