Information Collection

[OLSS] CDC OneLab REACH Formative Evaluation

IC 263317 under ICR 202507-0920-004 · OMB 0920-1154.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
[OLSS] CDC OneLab REACH Formative Evaluation Form and Instruction
Single Sign-Up Survey [OLSS] CDC OneLab REACH Formative Evaluation Form and Instruction
Post Course Evaluation Survey [OLSS] CDC OneLab REACH Formative Evaluation Form and Instruction
User Experience Survey [OLSS] CDC OneLab REACH Formative Evaluation Form and Instruction
Mini Lesson and Job Aid Survey [OLSS] CDC OneLab REACH Formative Evaluation Form and Instruction
Pace and non-Pace Evaluation Survey [OLSS] CDC OneLab REACH Formative Evaluation Form and Instruction
Single Sign-Up Survey
04_Attachment 1_OneLab REACH Single Sign-Up Survey_11-08-2023.docx
Form and Instruction
Single Sign-Up Survey
04_Attachment 1_OneLab REACH Single Sign-Up Survey_11-08-2023.docx
Form and Instruction
Post Course Evaluation Survey
05_Attachment 2_OneLab REACH Post Course Evaluation Survey_11-07-2023.docx
Form and Instruction
Post Course Evaluation Survey
05_Attachment 2_OneLab REACH Post Course Evaluation Survey_11-07-2023.docx
Form and Instruction
User Experience Survey
06_Attachment 3_OneLab REACH User Experience Survey_11-07-2023.docx
Form and Instruction
User Experience Survey
06_Attachment 3_OneLab REACH User Experience Survey_11-07-2023.docx
Form and Instruction
Mini Lesson and Job Aid Survey
07_Attachment 4_OneLab REACH Mini Lesson and Job Aid Survey_11-07-2023.docx
Form and Instruction
Mini Lesson and Job Aid Survey
07_Attachment 4_OneLab REACH Mini Lesson and Job Aid Survey_11-07-2023.docx
Form and Instruction
Pace and non-Pace Evaluation Survey
08_Attachment 5_OneLab REACH PACE and non-PACE Evaluation Survey_11-07-2023.docx
Form and Instruction
Pace and non-Pace Evaluation Survey
08_Attachment 5_OneLab REACH PACE and non-PACE Evaluation Survey_11-07-2023.docx
Form and Instruction
01_Formative Research_GenIC Request_CDC OneLab REACH Evaluation_11-09-2023.docx
GenIC Request Template
IC Document
01_Formative Research_GenIC Request_CDC OneLab REACH Evaluation_11-09-2023.docx
GenIC Request Template
IC Document
02_Supporting Statement A_OneLab REACH_11-09-2023_final.docx
SSA
IC Document
02_Supporting Statement A_OneLab REACH_11-09-2023_final.docx
SSA
IC Document
03_Supporting Statement B_OneLab REACH_11-09-2023.docx
SSB
IC Document
03_Supporting Statement B_OneLab REACH_11-09-2023.docx
SSB
IC Document
09_Attachment 6 _ Survey invitation_ Post Course_PACE and non-PACE Evaluation Survey_11-07-2023.docx
Survey Invitation - PACE and non-PACE Evaluation
IC Document
09_Attachment 6 _ Survey invitation_ Post Course_PACE and non-PACE Evaluation Survey_11-07-2023.docx
Survey Invitation - PACE and non-PACE Evaluation
IC Document
10_Attachment 7 _Survey invitation_Other Surveys_11-07-2023.docx
Survey Invitation - Other Surveys
IC Document
10_Attachment 7 _Survey invitation_Other Surveys_11-07-2023.docx
Survey Invitation - Other Surveys
IC Document
11_Attachment 8_OneLab REACH One Pager.pdf
One Lab REACH One Pager
IC Document
11_Attachment 8_OneLab REACH One Pager.pdf
One Lab REACH One Pager
IC Document
12_Attachment 9_Project Determination_Human Subjects Research Determination.pdf
Research Determination
IC Document
12_Attachment 9_Project Determination_Human Subjects Research Determination.pdf
Research Determination
IC Document
02_Supporting Statement A_OneLab REACH_11-09-2023_final_CDC DLS 12.05.2023_clean.docx
SSA v2
IC Document
02_Supporting Statement A_OneLab REACH_11-09-2023_final_CDC DLS 12.05.2023_clean.docx
SSA v2
IC Document

Information Collection (IC) Details

View Information Collection (IC)

layout table

Information Collection Instruments:
table that charts list of instruments
Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction n/a Yes Yes Fillable Fileable
Form and Instruction n/a Yes Yes Fillable Fileable
Form and Instruction n/a Yes Yes Fillable Fileable
Form and Instruction n/a Yes Yes Fillable Fileable
Form and Instruction n/a Yes Yes Fillable Fileable

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  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 50,000 0 0 0 0 50,000
Annual IC Time Burden (Hours) 12,333 0 0 0 0 12,333
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Documents for IC
table that charts IC Documents
Title Document Date Uploaded
GenIC Request Template 11/13/2023
SSA 11/13/2023
SSB 11/13/2023
Survey Invitation - PACE and non-PACE Evaluation 11/13/2023
Survey Invitation - Other Surveys 11/13/2023
One Lab REACH One Pager 11/13/2023
Research Determination 11/13/2023
SSA v2 12/07/2023
            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].