Information Collection

[NCZEID] Focus Groups and Interviews with Consumers and HCPs on Alpha-Gal Syndrome

IC 264581 under ICR 202507-0920-001 · 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⚠️ Notice: This information collection may be referencing outdated material.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 0920-24CA [NCZEID] Focus Groups and Interviews with Consumers and HCPs on Alpha-Gal Syndrome	Form and Instruction
Form 0920-24CA Attachment 1 - CDC DVBD - AGS Data Collection - Focus Group Screener - 12.14.23 [NCZEID] Focus Groups and Interviews with Consumers and HCPs on Alpha-Gal Syndrome	Form and Instruction
Form 0920-24CA Attachment 5 - CDC DVBD - AGS Data Collection - Focus Group Discussion Guide - 12.14.23 [NCZEID] Focus Groups and Interviews with Consumers and HCPs on Alpha-Gal Syndrome	Form and Instruction
Form 0920-24CA Attachment 2 - CDC DVBD - AGS Data Collection - Interview Screener - 12.14.23 [NCZEID] Focus Groups and Interviews with Consumers and HCPs on Alpha-Gal Syndrome	Form and Instruction
Form 0920-24CA Attachment 6 - CDC DVBD - AGS Data Collection - Interview Discussion Guide - 12.14.23 [NCZEID] Focus Groups and Interviews with Consumers and HCPs on Alpha-Gal Syndrome	Form and Instruction
0920-24CA Attachment 1 - CDC DVBD - AGS Data Collection - Focus Gr Attachment 1 - CDC DVBD - AGS Data Collection - Focus Group Screener - 12.14.23.docx	Form and Instruction
0920-24CA Attachment 1 - CDC DVBD - AGS Data Collection - Focus Gr Attachment 1 - CDC DVBD - AGS Data Collection - Focus Group Screener - 12.14.23.docx	Form and Instruction
0920-24CA Attachment 5 - CDC DVBD - AGS Data Collection - Focus Gr Attachment 5 - CDC DVBD - AGS Data Collection - Focus Group Discussion Guide - 12.14.23.docx	Form and Instruction
0920-24CA Attachment 5 - CDC DVBD - AGS Data Collection - Focus Gr Attachment 5 - CDC DVBD - AGS Data Collection - Focus Group Discussion Guide - 12.14.23.docx	Form and Instruction
0920-24CA Attachment 2 - CDC DVBD - AGS Data Collection - Intervie Attachment 2 - CDC DVBD - AGS Data Collection - Interview Screener - 12.14.23.docx	Form and Instruction
0920-24CA Attachment 2 - CDC DVBD - AGS Data Collection - Intervie Attachment 2 - CDC DVBD - AGS Data Collection - Interview Screener - 12.14.23.docx	Form and Instruction
0920-24CA Attachment 6 - CDC DVBD - AGS Data Collection - Intervie Attachment 6 - CDC DVBD - AGS Data Collection - Interview Discussion Guide - 12.14.23.docx	Form and Instruction
0920-24CA Attachment 6 - CDC DVBD - AGS Data Collection - Intervie Attachment 6 - CDC DVBD - AGS Data Collection - Interview Discussion Guide - 12.14.23.docx	Form and Instruction
Attachment 4 - CDC DVBD - AGS Data Collection - Interview Consent Form - 12.14.23.docx Attachment 4 - CDC DVBD - AGS Data Collection - Interview Consent Form - 12.14.23	IC Document
Attachment 4 - CDC DVBD - AGS Data Collection - Interview Consent Form - 12.14.23.docx Attachment 4 - CDC DVBD - AGS Data Collection - Interview Consent Form - 12.14.23	IC Document
Attachment 7 - CDC DVBD - AGS Data Collection - Draft Message Stimuli - 12.14.23.docx Attachment 7 - CDC DVBD - AGS Data Collection - Draft Message Stimuli - 12.14.23	IC Document
Attachment 7 - CDC DVBD - AGS Data Collection - Draft Message Stimuli - 12.14.23.docx Attachment 7 - CDC DVBD - AGS Data Collection - Draft Message Stimuli - 12.14.23	IC Document
Attachment 8- Human Subjects Determination.pdf Attachment 8- Human Subjects Determination	IC Document
Attachment 8- Human Subjects Determination.pdf Attachment 8- Human Subjects Determination	IC Document
GenIC Submission Form - CDC DVBD - AGS Data Collection - 1.8.24.docx GenIC Submission Form - CDC DVBD - AGS Data Collection - 1.8.24	IC Document
GenIC Submission Form - CDC DVBD - AGS Data Collection - 1.8.24.docx GenIC Submission Form - CDC DVBD - AGS Data Collection - 1.8.24	IC Document
Supporting Statement A - CDC DVBD - AGS Data Collection - 12.14.23.docx Supporting Statement A - CDC DVBD - AGS Data Collection - 12.14.23	IC Document
Supporting Statement A - CDC DVBD - AGS Data Collection - 12.14.23.docx Supporting Statement A - CDC DVBD - AGS Data Collection - 12.14.23	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

[NCZEID] Focus Groups and Interviews with Consumers and HCPs on Alpha-Gal Syndrome

Agency IC Tracking Number:

0920-1154-24CA

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 and Instruction	0920-24CA	Yes	Yes	Fillable Fileable
Form and Instruction	0920-24CA	Yes	Yes	Fillable Fileable
Form and Instruction	0920-24CA	Yes	Yes	Fillable Fileable
Form and Instruction	0920-24CA	Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 451

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	451	451
Annual IC Time Burden (Hours)	93	93
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Attachment 4 - CDC DVBD - AGS Data Collection - Interview Consent Form - 12.14.23		01/22/2024
Attachment 7 - CDC DVBD - AGS Data Collection - Draft Message Stimuli - 12.14.23		01/22/2024
Attachment 8- Human Subjects Determination		01/22/2024
GenIC Submission Form - CDC DVBD - AGS Data Collection - 1.8.24		01/22/2024
Supporting Statement A - CDC DVBD - AGS Data Collection - 12.14.23		01/22/2024

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

Something went wrong when downloading this file. If you have any questions, please send an email to [email protected].