Information Collection

[NCZEID] Focus Groups with Consumers on Oropouche

IC 272710 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⚠️ Notice: This information collection may be referencing outdated material.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 0920-25BP [NCZEID] Focus Groups with Consumers on Oropouche	Form
Form 0920-25BP Focus Group Screener [NCZEID] Focus Groups with Consumers on Oropouche	Form
Form 0920-25BP Focus Group Discussion Guide [NCZEID] Focus Groups with Consumers on Oropouche	Form
0920-25BP Focus Group Screener Attachment 1 - CDC DVBD - Task 6 Oropouche - Focus Group Screener 10.28.24.docx	Form
0920-25BP Focus Group Screener Attachment 1 - CDC DVBD - Task 6 Oropouche - Focus Group Screener 10.28.24.docx	Form
0920-25BP Focus Group Discussion Guide Attachment 3 - CDC DVBD - Task 6 Oropouche - Focus Group Discussion Guide 10.28.24.docx	Form
0920-25BP Focus Group Discussion Guide Attachment 3 - CDC DVBD - Task 6 Oropouche - Focus Group Discussion Guide 10.28.24.docx	Form
Attachment 2 - CDC DVBD - Task 6 Oropouche - Focus Group Consent Form 10.28.24.docx Focus Group Consent Form	IC Document
Attachment 2 - CDC DVBD - Task 6 Oropouche - Focus Group Consent Form 10.28.24.docx Focus Group Consent Form	IC Document
Attachment 4a - CDC DVBD - Task 6 Oropouche - Draft Message Stimuli 10.28.24.pdf Draft Message Stimuli 1	IC Document
Attachment 4a - CDC DVBD - Task 6 Oropouche - Draft Message Stimuli 10.28.24.pdf Draft Message Stimuli 1	IC Document
Attachment 4b - CDC DVBD - Task 6 Oropouche - Draft Message Stimuli 10.28.24.pdf Draft Message Stimuli 2	IC Document
Attachment 4b - CDC DVBD - Task 6 Oropouche - Draft Message Stimuli 10.28.24.pdf Draft Message Stimuli 2	IC Document
Attachment 4c- CDC DVBD - Task 6 Oropouche - Draft Message Stimuli 10.28.24.png Draft Message Stimuli 3	IC Document
Attachment 4c- CDC DVBD - Task 6 Oropouche - Draft Message Stimuli 10.28.24.png Draft Message Stimuli 3	IC Document
Attachment 5- Human Subjects Determination.pdf Human Subjects Determination	IC Document
Attachment 5- Human Subjects Determination.pdf Human Subjects Determination	IC Document
GenIC Request Template.docx GenIC Request	IC Document
GenIC Request Template.docx GenIC Request	IC Document
Supporting Statement A - CDC DVBD - Oropouche Data Collection - 10.28.2024 (002).docx SSA	IC Document
Supporting Statement A - CDC DVBD - Oropouche Data Collection - 10.28.2024 (002).docx SSA	IC Document
Supporting Statement B - CDC DVBD - Oropouche Data Collection - 10.28.24.docx SSB	IC Document
Supporting Statement B - CDC DVBD - Oropouche Data Collection - 10.28.24.docx SSB	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

[NCZEID] Focus Groups with Consumers on Oropouche

Agency IC Tracking Number:

0920-25BP

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	0920-25BP				Yes	Yes	Fillable Fileable
Form	0920-25BP				Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 264

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	264	264
Annual IC Time Burden (Hours)	56	56
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Focus Group Consent Form		11/29/2024
Draft Message Stimuli 1		11/29/2024
Draft Message Stimuli 2		11/29/2024
Draft Message Stimuli 3		11/29/2024
Human Subjects Determination		11/29/2024
GenIC Request		11/29/2024
SSA		11/29/2024
SSB		11/29/2024

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

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