[NCIPC] Adoption Accelerator Social Network Analysis (Formative Research)

[OS] CDC/ATSDR Formative Research and Tool Development

OMB: 0920-1154

IC ID: 269261

Documents and Forms
Document Name
Document Type
Form
Form
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

[NCIPC] Adoption Accelerator Social Network Analysis (Formative Research) 0920-1154-24GZ
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 0920-24GZ Sheriffs’ Advice-Seeking Survey Attachment A. Sheriffs' Advice-Seeking Survey Instrument April 2024.docx Yes Yes Fillable Fileable

Health Public Health Monitoring

 

300 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 300 0 0 0 0 300
Annual IC Time Burden (Hours) 95 0 0 0 0 95
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
SSA Adoption_Accel_GenIC Formative Research_SSA April 2024 clean RGK.docx 07/09/2024
SSB Adoption_Accel_GenIC Formative Research_SSB April 2024 RGK.docx 07/09/2024
IRB Determination Attachment H. Exemption Review Board (IRB) documentation.pdf 07/09/2024
Survey Screenshot Attachment A_I. Survey Screenshots.docx 07/09/2024
Survey Announcement Email Attachment B. Sheriffs' Advice-Seeking Survey Announcement Email April 2024.docx 07/09/2024
Survey Link Email Attachment C. Sheriffs' Advice-Seeking Survey Link Email April 2024.docx 07/09/2024
Survey Reminder Email 1 Attachment D. Sheriffs' Advice-Seeking Survey Reminder Email 1 April 2024.docx 07/09/2024
Survey Reminder Email 2 Attachment E. Sheriffs' Advice-Seeking Survey Reminder Email 2 April 2024.docx 07/09/2024
Telephone Reminder Attachment F. Sheriffs' Advice-Seeking Survey Telephone Reminder April 2024.docx 07/09/2024
Mailed Reminder Attachment G. Sheriffs' Advice-Seeking Survey Mailed Reminder April 2024.docx 07/09/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
© 2025 OMB.report | Privacy Policy