Information Collection

[NCEZID] Wastewater Surveillance Communication Evaluation: Assessing Water Surveillance Messages, Knowledge, and Attitudes (24CP)

IC 264849 under ICR 202506-0920-010 · 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⚠️ Notice: This information collection may be referencing outdated material.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 0920-1154 [NCEZID] Wastewater Surveillance Communication Evaluation: Assessing Water Surveillance Messages, Knowledge, and Attitudes (24CP)	Form
Form 0920-1154 Screening/Eligibility Form for Focus Groups [NCEZID] Wastewater Surveillance Communication Evaluation: Assessing Water Surveillance Messages, Knowledge, and Attitudes (24CP)	Form
Form 0920-1154 Eligible Participant Screener for Focus Group (24CP) [NCEZID] Wastewater Surveillance Communication Evaluation: Assessing Water Surveillance Messages, Knowledge, and Attitudes (24CP)	Form
Form 0920-1154 Focus Group Moderator Guide (24CP) [NCEZID] Wastewater Surveillance Communication Evaluation: Assessing Water Surveillance Messages, Knowledge, and Attitudes (24CP)	Form and Instruction
Attachment #5 - Respondent Consent Form_FG.docx	Other-Consent
Attachment #5 - Respondent Consent Form_FG.docx	Other-Consent
0920-1154 Screening/Eligibility Form for Focus Groups Attachment #1 - Eligibility Screener.docx	Form
0920-1154 Screening/Eligibility Form for Focus Groups Attachment #1 - Eligibility Screener.docx	Form
0920-1154 Eligible Participant Screener for Focus Group (24CP) Attachment #3 - Eligible Participant Screener_FG_DA.docx	Form
0920-1154 Eligible Participant Screener for Focus Group (24CP) Attachment #3 - Eligible Participant Screener_FG_DA.docx	Form
0920-1154 Focus Group Moderator Guide (24CP) Attachment #8 - Focus Group Moderator Guide_.docx	Form and Instruction
0920-1154 Focus Group Moderator Guide (24CP) Attachment #8 - Focus Group Moderator Guide_.docx	Form and Instruction
Attachment #2 - Recruitment Materials_FG.docx Recruitment Materials (General and Post)	IC Document
Attachment #2 - Recruitment Materials_FG.docx Recruitment Materials (General and Post)	IC Document
Attachment #4 - Privacy Agreement.docx Project Staff Agreement of Privacy	IC Document
Attachment #4 - Privacy Agreement.docx Project Staff Agreement of Privacy	IC Document
Attachment #6 - Standard Invitation_FG.docx Invitation (Standard)_ Focus Group	IC Document
Attachment #6 - Standard Invitation_FG.docx Invitation (Standard)_ Focus Group	IC Document
Attachment #7 - Participant Confirmation Email_FG.docx Participant Confirmation Email	IC Document
Attachment #7 - Participant Confirmation Email_FG.docx Participant Confirmation Email	IC Document
Attachment #9- messages to be tested NWSS.docx Messages to be Tested	IC Document
Attachment #9- messages to be tested NWSS.docx Messages to be Tested	IC Document
Attachment #10- Human Subjects Determination.pdf Human Subjects Determination	IC Document
Attachment #10- Human Subjects Determination.pdf Human Subjects Determination	IC Document
GenIC Request_Wastewater.020524 (24CP).docx Request for Approval under the “Generic Clearance for the Collection of Formative Research and Tool Development” (OMB Control Nu	IC Document
GenIC Request_Wastewater.020524 (24CP).docx Request for Approval under the “Generic Clearance for the Collection of Formative Research and Tool Development” (OMB Control Nu	IC Document
SSA.020524_(24CP).docx SSA (24CP)	IC Document
SSA.020524_(24CP).docx SSA (24CP)	IC Document
SSB (24CP).docx SSB [0920-1154-24CP]	IC Document
SSB (24CP).docx SSB [0920-1154-24CP]	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

[NCEZID] Wastewater Surveillance Communication Evaluation: Assessing Water Surveillance Messages, Knowledge, and Attitudes (24CP)

Agency IC Tracking Number:

0920-1154-24CP

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Electronic Capability
Form	0920-1154	No	Fillable Fileable
Form	0920-1154	No	Fillable Fileable
Other-Consent		No	Printable Only
Form and Instruction	0920-1154	No	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: 180

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 50 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	180	180
Annual IC Time Burden (Hours)	83	83
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Recruitment Materials (General and Post)		02/01/2024
Project Staff Agreement of Privacy		02/01/2024
Invitation (Standard)_ Focus Group		02/01/2024
Participant Confirmation Email		02/01/2024
Messages to be Tested		02/01/2024
Human Subjects Determination		02/01/2024
Request for Approval under the âGeneric Clearance for the Collection of Formative Research and Tool Developmentâ (OMB Control Number: 0920-1154) 24CP		02/05/2024
SSA (24CP)		02/05/2024
SSB [0920-1154-24CP]		02/01/2024

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

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