0920-25-0094 Intake Form

Form Approved

OMB Control No. 0920-1154

Exp. Date: 03/31/2026

Thank you for participating in the CDC OneLab Focus Group/ Key Informant Intake Form Survey. Please provide feedback to help CDC better understand the development and strength of connections made among peers in OneLab Network. The survey will take approximately 10 minutes to complete. Participation in this survey is voluntary and all responses will remain anonymous. No unique identifying information will be sought or kept. If you have any questions about this evaluation, please email [email protected].  

  

CDC estimates the average public reporting burden for this collection of information as 10 minutes per response, including the time for reviewing instructions, searching existing data/information sources, gathering and maintaining the data/information needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to CDC/ATSDR Information Collection Review Office, 1600 Clifton Road NE, SD-74, Atlanta, Georgia 30333; ATTN: PRA (0920-1154). 

CDC OneLab Focus Group/ Key Informant Intake Form

Purpose

The purpose of this intake form is to gain a clear understanding of our OneLab user (like yourself), and your level of involvement in the overall OneLab and the five out of seven OneLab elements (i.e., OneLab REACH, OneLab Network, OneLab TEST, OneLab VR, and OneLab Summit). The information you provided will help us enhance your user experience and ultimately better serve the training and development needs among the laboratory workforce and testing community.

General

1. Please provide your email address [text box]

2. Which best describes your lab’s location and setting? (Select one)

• Urban Research Lab

• Rural Research Lab

• University Campus Lab

• Hospital/Medical Center Lab

• Private/Commercial Lab

• Field Station

• Other: [Text Box]

3. Does your lab work with special populations? (Select all that apply)

• Yes, children

• Yes, elderly

• Yes, individuals with disabilities

• Yes, underrepresented ethnic or racial groups

• No, we do not work with special populations

• Other: [Text Box]

4. What is your race and/or ethnicity? (select all that apply)

• American Indian or Alaskan Native

• Asian

• Black or African American

• Hispanic or Latino

• Middle Eastern or North African

• Native Hawaiian or Other Pacific Islander

• White

5. What is your sex?

   1. Female

   2. Male

REACH

• All participants have to complete at least three courses for the past six months. 

• Participants need to be identified as active user of OneLab REACH for the past six months.  

• Must be a laboratory or testing working professional.  

1: In the past six months, have you completed at least 3 courses via OneLab REACH?

• Yes

• No

2: Do you work in a laboratory or testing environment?

• Yes, working laboratory professional

• Yes, current student

• No

VR

• All recruited participants need to complete at least one or two OneLab VR scenarios/micro-learning courses.  

• Must be a laboratory or testing working professional.  

1: Have you completed at least one OneLab VR scenario/micro-learning course?

• Yes

• No

2: Do you work in a laboratory or testing environment?

• Yes, working laboratory professional

• Yes, current student

• No

Network/ TEST

• All participants must attend at least one event in the last three months.  

• Must be a laboratory or testing working professional.  

1: In the past 3 months, have you attended at least 1 OneLab Network/TEST event?

• Yes

• No

2: Do you work in a laboratory or testing environment?

• Yes, working laboratory professional

• Yes, current student

• No

Summit

• All participants must have attended the most recent OneLab Summit.

• Must be a laboratory or testing working professional.

1: Please indicate whether you have attended the most recent 2024 OneLab Summit?

• Yes

• No

2: Do you work in a laboratory or testing environment?

• Yes, working laboratory professional

• Yes, current student

• No