Information Collection

[NCEZID] (genIC) Healthcare Provider Communication Evaluation: Assessing Foodborne Illness and Waterborne Illness Prevention Messages, Knowledge, and Attitudes

IC 264920 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⚠️ Notice: This information collection may be referencing outdated material.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

Document Name Document Type
Form 0920-1154 [NCEZID] (genIC) Healthcare Provider Communication Evaluation: Assessing Foodborne Illness and Waterborne Illness Prevention Messages, Knowledge, and Attitudes Form
0920-1154 Screening/Eligibility Form for Interviews/Focus Groups ( Attachment #1 - HCP Eligibility Screener.docx Form
0920-1154 Screening/Eligibility Form for Interviews/Focus Groups ( Attachment #1 - HCP Eligibility Screener.docx Form
0920-1154 Eligible Participant Screener (24CU) Attachment #3 - HCP Eligible Participant Screener.docx Form and Instruction
0920-1154 Eligible Participant Screener (24CU) Attachment #3 - HCP Eligible Participant Screener.docx Form and Instruction
0920-1154 Moderator or Interviewer Guide (24CU) Attachment #8 - HCP Interview Guide.docx Form and Instruction
0920-1154 Moderator or Interviewer Guide (24CU) Attachment #8 - HCP Interview Guide.docx Form and Instruction
0920-1154 MESSAGES to be TESTED (24CU) Attachment #9- messages to be tested HCP.docx Form and Instruction
0920-1154 MESSAGES to be TESTED (24CU) Attachment #9- messages to be tested HCP.docx Form and Instruction
Supporting Statement A.docx SSA (24CU) IC Document
Supporting Statement A.docx SSA (24CU) IC Document
Supporting Statement B.docx SSB (24CU) IC Document
Supporting Statement B.docx SSB (24CU) IC Document
GenIC Request_.docx Request for genIC Approval CDC/ATSDR Formative Research and Tool Development (24CU) IC Document
GenIC Request_.docx Request for genIC Approval CDC/ATSDR Formative Research and Tool Development (24CU) IC Document
Attachment #2 - Recruitment Materials.docx Recruitment Materials (24CU) IC Document
Attachment #2 - Recruitment Materials.docx Recruitment Materials (24CU) IC Document
Attachment #4 - Privacy Agreement.docx Privacy Agreement_Project Staff (24CU) IC Document
Attachment #4 - Privacy Agreement.docx Privacy Agreement_Project Staff (24CU) IC Document
Attachment #5 - Respondent Consent Form.docx Respondent Consent Form (24CU) IC Document
Attachment #5 - Respondent Consent Form.docx Respondent Consent Form (24CU) IC Document
Attachment #6 - Standard Invitation.docx Invitation_Standard (24CU) IC Document
Attachment #6 - Standard Invitation.docx Invitation_Standard (24CU) IC Document
Attachment #7 - Participant Confirmation Email.docx Participant Confirmation Email (24CU) IC Document
Attachment #7 - Participant Confirmation Email.docx Participant Confirmation Email (24CU) IC Document
Attachment #10- Human Subjects Determination.pdf Determination of Non-applicability of Human Subjects Regulations (24CU) IC Document
Attachment #10- Human Subjects Determination.pdf Determination of Non-applicability of Human Subjects Regulations (24CU) IC Document

Information Collection (IC) Details

IC Title	[NCEZID] (genIC) Healthcare Provider Communication Evaluation: Assessing Foodborne Illness and Waterborne Illness Prevention Messages, Knowledge, and Attitudes
IC Status	Unchanged
Obligation to Respond	Voluntary