Information Collection

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

IC 269261 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⚠️ Notice: This information collection may be referencing outdated material.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 0920-24GZ [NCIPC] Adoption Accelerator Social Network Analysis (Formative Research)	Form
Form 0920-24GZ Sheriffs’ Advice-Seeking Survey [NCIPC] Adoption Accelerator Social Network Analysis (Formative Research)	Form
0920-24GZ Sheriffs’ Advice-Seeking Survey Attachment A. Sheriffs' Advice-Seeking Survey Instrument April 2024.docx	Form
0920-24GZ Sheriffs’ Advice-Seeking Survey Attachment A. Sheriffs' Advice-Seeking Survey Instrument April 2024.docx	Form
Adoption_Accel_GenIC Formative Research_SSA April 2024 clean RGK.docx SSA	IC Document
Adoption_Accel_GenIC Formative Research_SSA April 2024 clean RGK.docx SSA	IC Document
Adoption_Accel_GenIC Formative Research_SSB April 2024 RGK.docx SSB	IC Document
Adoption_Accel_GenIC Formative Research_SSB April 2024 RGK.docx SSB	IC Document
Attachment H. Exemption Review Board (IRB) documentation.pdf IRB Determination	IC Document
Attachment H. Exemption Review Board (IRB) documentation.pdf IRB Determination	IC Document
Attachment A_I. Survey Screenshots.docx Survey Screenshot	IC Document
Attachment A_I. Survey Screenshots.docx Survey Screenshot	IC Document
Attachment B. Sheriffs' Advice-Seeking Survey Announcement Email April 2024.docx Survey Announcement Email	IC Document
Attachment B. Sheriffs' Advice-Seeking Survey Announcement Email April 2024.docx Survey Announcement Email	IC Document
Attachment C. Sheriffs' Advice-Seeking Survey Link Email April 2024.docx Survey Link Email	IC Document
Attachment C. Sheriffs' Advice-Seeking Survey Link Email April 2024.docx Survey Link Email	IC Document
Attachment D. Sheriffs' Advice-Seeking Survey Reminder Email 1 April 2024.docx Survey Reminder Email 1	IC Document
Attachment D. Sheriffs' Advice-Seeking Survey Reminder Email 1 April 2024.docx Survey Reminder Email 1	IC Document
Attachment E. Sheriffs' Advice-Seeking Survey Reminder Email 2 April 2024.docx Survey Reminder Email 2	IC Document
Attachment E. Sheriffs' Advice-Seeking Survey Reminder Email 2 April 2024.docx Survey Reminder Email 2	IC Document
Attachment F. Sheriffs' Advice-Seeking Survey Telephone Reminder April 2024.docx Telephone Reminder	IC Document
Attachment F. Sheriffs' Advice-Seeking Survey Telephone Reminder April 2024.docx Telephone Reminder	IC Document
Attachment G. Sheriffs' Advice-Seeking Survey Mailed Reminder April 2024.docx Mailed Reminder	IC Document
Attachment G. Sheriffs' Advice-Seeking Survey Mailed Reminder April 2024.docx Mailed Reminder	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

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

Agency IC Tracking Number:

0920-1154-24GZ

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

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	0920-24GZ				Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 300

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

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
SSA		07/09/2024
SSB		07/09/2024
IRB Determination		07/09/2024
Survey Screenshot		07/09/2024
Survey Announcement Email		07/09/2024
Survey Link Email		07/09/2024
Survey Reminder Email 1		07/09/2024
Survey Reminder Email 2		07/09/2024
Telephone Reminder		07/09/2024
Mailed Reminder		07/09/2024

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

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