[NCZEID] Harmful Algal Blooms Shellfish Communication Evaluation

[OS] CDC/ATSDR Formative Research and Tool Development

OMB: 0920-1154

IC ID: 273877

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Information Collection (IC) Details

View Information Collection (IC)

[NCZEID] Harmful Algal Blooms Shellfish Communication Evaluation
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 25-0003 Screener Attachment 1 - Eligibility Screener_FG.docx Yes Yes Fillable Fileable
Form 25-0003 Eligibility Screener Attachment 3 - Eligible Participant Screener_2.21.25.docx Yes Yes Fillable Fileable
Form 25-0003 Moderator Guide Attachment 8 - Moderator Guide_FG.docx Yes Yes Fillable Fileable

Health Consumer Health and Safety

 

532 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 532 0 0 0 0 532
Annual IC Time Burden (Hours) 80 0 0 0 0 80
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
SSA Supporting Statement A Algal Blooms.docx 02/21/2025
SSB Supporting Statement B.docx 01/28/2025
Recruitment Material Attachment 2 - Recruitment Materials_FG.docx 01/28/2025
Privacy Agreement Attachment 4 - Privacy Agreement.docx 01/28/2025
Respondent Consent Attachment 5 - Respondent Consent Form_FG.docx 01/28/2025
Invitation Attachment 6 - Standard Invitation_FG .docx 01/28/2025
Confirmation Email Attachment 7 - Participant Confirmation Email_FG.docx 01/28/2025
Material for Testing Attachment 9 - Materials for testing.docx 01/28/2025
GenIC Request GenIC Request HAB Communication Evaluation.docx 01/28/2025
Human Subjects Determination Attachment 10- Human Subjects Determination.pdf 01/28/2025
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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