Information Collection

[NCZEID] Formative Communications Assessment on Antimicrobial Resistance

IC 265912 under ICR 202507-0920-004 · 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⚠️ Notice: This information collection may be referencing outdated material.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 0920-24DM [NCZEID] Formative Communications Assessment on Antimicrobial Resistance	Form
Form 0920-24DM Focus Group Screener [NCZEID] Formative Communications Assessment on Antimicrobial Resistance	Form
Form 0920-24DM Focus Group Guide for HCPs about Antimicrobial Resistance [NCZEID] Formative Communications Assessment on Antimicrobial Resistance	Form
Form 0920-24DM Interview Guide for Medical Association about Antimicrobial Resistance [NCZEID] Formative Communications Assessment on Antimicrobial Resistance	Form
Form 0920-24DM Focus Group Screener for Consumers, Including Parents, and Caregivers [NCZEID] Formative Communications Assessment on Antimicrobial Resistance	Form
Form 0920-24DM Focus Group Guide for General Consumers about Antimicrobial Resistance [NCZEID] Formative Communications Assessment on Antimicrobial Resistance	Form
Form 0920-24DM Focus Group Guide for Caregivers about Antimicrobial Resistance [NCZEID] Formative Communications Assessment on Antimicrobial Resistance	Form
Form 0920-24DM In-Depth Interview Screener for Consumers with Previous Antimicrobial-Resistant Infections [NCZEID] Formative Communications Assessment on Antimicrobial Resistance	Form
Form 0920-24DM Interview Guide for Consumers with Past Antimicrobial Resistant Infections on Antimicrobial Resistance [NCZEID] Formative Communications Assessment on Antimicrobial Resistance	Form
Form 0920-24DM Survey on Antimicrobial Resistance Among National Policy Audiences [NCZEID] Formative Communications Assessment on Antimicrobial Resistance	Form
0920-24DM Focus Group Screener Attachment 1 - Screener - Provider FGs_2.20.24_V4.docx	Form
0920-24DM Focus Group Screener Attachment 1 - Screener - Provider FGs_2.20.24_V4.docx	Form
0920-24DM Focus Group Guide for HCPs about Antimicrobial Resistanc Attachment 6 - Focus Group Guide - Providers_2.12.24_V3.docx	Form
0920-24DM Focus Group Guide for HCPs about Antimicrobial Resistanc Attachment 6 - Focus Group Guide - Providers_2.12.24_V3.docx	Form
0920-24DM Interview Guide for Medical Association about Antimicrob Attachment 9 - Interview Guide - Medical Assn Experts_2.12.24_V3.docx	Form
0920-24DM Interview Guide for Medical Association about Antimicrob Attachment 9 - Interview Guide - Medical Assn Experts_2.12.24_V3.docx	Form
0920-24DM Focus Group Screener for Consumers, Including Parents, a Attachment 2 - Screener - Consumer FGs_2.20.24_V4.docx	Form
0920-24DM Focus Group Screener for Consumers, Including Parents, a Attachment 2 - Screener - Consumer FGs_2.20.24_V4.docx	Form
0920-24DM Focus Group Guide for General Consumers about Antimicrob Attachment 7 - Focus Group Guide - General Consumers_2.12.24_V3.docx	Form
0920-24DM Focus Group Guide for General Consumers about Antimicrob Attachment 7 - Focus Group Guide - General Consumers_2.12.24_V3.docx	Form
0920-24DM Focus Group Guide for Caregivers about Antimicrobial Res Attachment 8 - Focus Group Guide - Consumer Caregivers_2.12.24_V3.docx	Form
0920-24DM Focus Group Guide for Caregivers about Antimicrobial Res Attachment 8 - Focus Group Guide - Consumer Caregivers_2.12.24_V3.docx	Form
0920-24DM In-Depth Interview Screener for Consumers with Previous Attachment 3 - Screener - Consumer with Past Infection IDIs_2.20.24_V4.docx	Form
0920-24DM In-Depth Interview Screener for Consumers with Previous Attachment 3 - Screener - Consumer with Past Infection IDIs_2.20.24_V4.docx	Form
0920-24DM Interview Guide for Consumers with Past Antimicrobial Re Attachment 10 - Interview Guide - Consumers with Past Infection_2.12.24_V3.docx	Form
0920-24DM Interview Guide for Consumers with Past Antimicrobial Re Attachment 10 - Interview Guide - Consumers with Past Infection_2.12.24_V3.docx	Form
0920-24DM Survey on Antimicrobial Resistance Among National Policy Attachment 11 - Survey - Policy Audience_2.20.24_V4.docx	Form
0920-24DM Survey on Antimicrobial Resistance Among National Policy Attachment 11 - Survey - Policy Audience_2.20.24_V4.docx	Form
WS-CDC ARX_Formative Research_OMB Supporting Statement A 3_7.24_V5.docx SSA	IC Document
WS-CDC ARX_Formative Research_OMB Supporting Statement A 3_7.24_V5.docx SSA	IC Document
WS-CDC ARX_Formative Research_OMB Supporting Statement B_2.12.24_V3.docx SSB	IC Document
WS-CDC ARX_Formative Research_OMB Supporting Statement B_2.12.24_V3.docx SSB	IC Document
Attachment 12- Human Subjects Determination.pdf Human Subjects Determination	IC Document
Attachment 12- Human Subjects Determination.pdf Human Subjects Determination	IC Document
WS-CDC ARX_OMB GenIC Request_3.7.24_V3.docx GenIC Request	IC Document
WS-CDC ARX_OMB GenIC Request_3.7.24_V3.docx GenIC Request	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

[NCZEID] Formative Communications Assessment on Antimicrobial Resistance

Agency IC Tracking Number:

0920-1154-24DM

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	0920-24DM	Yes	Yes	Fillable Fileable
Form	0920-24DM	Yes	Yes	Fillable Fileable
Form	0920-24DM	Yes	Yes	Fillable Fileable
Form	0920-24DM	Yes	Yes	Fillable Fileable
Form	0920-24DM	Yes	Yes	Fillable Fileable
Form	0920-24DM	Yes	Yes	Fillable Fileable
Form	0920-24DM	Yes	Yes	Fillable Fileable
Form	0920-24DM	Yes	Yes	Fillable Fileable
Form	0920-24DM	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: 1,040

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	1,040	1,040
Annual IC Time Burden (Hours)	201	201
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
SSA		03/12/2024
SSB		03/12/2024
Human Subjects Determination		03/12/2024
GenIC Request		03/12/2024

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

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