Information Collection

[NCEZID] Public Health Communications Messages and Materials Testing Focused on Antimicrobial Resistance Among the U.S. General Population Pilot Data Collection Project

IC 261493 under ICR 202507-0920-005 · 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⚠️ Notice: This information collection may be referencing outdated material.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
[NCEZID] Public Health Communications Messages and Materials Testing Focused on Antimicrobial Resistance Among the U.S. General Population Pilot Data Collection Project	Form and Instruction
Recruitment Screener [NCEZID] Public Health Communications Messages and Materials Testing Focused on Antimicrobial Resistance Among the U.S. General Population Pilot Data Collection Project	Form and Instruction
Technology Pre-check [NCEZID] Public Health Communications Messages and Materials Testing Focused on Antimicrobial Resistance Among the U.S. General Population Pilot Data Collection Project	Form and Instruction
AR Formative Evaluation Interview Guide [NCEZID] Public Health Communications Messages and Materials Testing Focused on Antimicrobial Resistance Among the U.S. General Population Pilot Data Collection Project	Form and Instruction
Recruitment Screener Attachment A_ARX_Task1_Panel Provider Recruitment Screener_FINAL 7-28-2023.docx	Form and Instruction
Recruitment Screener Attachment A_ARX_Task1_Panel Provider Recruitment Screener_FINAL 7-28-2023.docx	Form and Instruction
Technology Pre-check Attachment D_ARX_Task1_Technology Check Email & Check List_FINAL 07-28-2023.docx	Form and Instruction
Technology Pre-check Attachment D_ARX_Task1_Technology Check Email & Check List_FINAL 07-28-2023.docx	Form and Instruction
AR Formative Evaluation Interview Guide Attachment C_ARX_Task1_DiscussionGuide_Final_OMB 07-28-2023.docx	Form and Instruction
AR Formative Evaluation Interview Guide Attachment C_ARX_Task1_DiscussionGuide_Final_OMB 07-28-2023.docx	Form and Instruction
Attachment B_ARX_Task1_Informed Consent Form_FINAL Focus Grps 7-28-2023.docx Informed Consent	IC Document
Attachment B_ARX_Task1_Informed Consent Form_FINAL Focus Grps 7-28-2023.docx Informed Consent	IC Document
Attachment E_Kopf Protocol Exempt Determination Notice Feb2423.pdf Research Determination	IC Document
Attachment E_Kopf Protocol Exempt Determination Notice Feb2423.pdf Research Determination	IC Document
Attachment F_ARX_Task1_Informed Consent Form-IDI 7-28-2023.docx Informed Consent (IDI)	IC Document
Attachment F_ARX_Task1_Informed Consent Form-IDI 7-28-2023.docx Informed Consent (IDI)	IC Document
GenIC Request Template_ARX 07-28-2023_final.docx GenIC Request Template	IC Document
GenIC Request Template_ARX 07-28-2023_final.docx GenIC Request Template	IC Document
Supporting Statement A (0920-1154) 07-28-2023_final.docx SSA	IC Document
Supporting Statement A (0920-1154) 07-28-2023_final.docx SSA	IC Document
Supporting Statement B (0920-1154) 07-28-2023.docx SSB	IC Document
Supporting Statement B (0920-1154) 07-28-2023.docx SSB	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

[NCEZID] Public Health Communications Messages and Materials Testing Focused on Antimicrobial Resistance Among the U.S. General Population Pilot Data Collection Project

Agency IC Tracking Number:

0920-1154-23HK

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 and Instruction	n/a	Yes	No	Fillable Fileable
Form and Instruction	n/a	Yes	No	Fillable Fileable
Form and Instruction	n/a	Yes	No	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: 1,590

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 5 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	1,590	1,590
Annual IC Time Burden (Hours)	306	306
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Informed Consent		08/09/2023
Research Determination		08/09/2023
Informed Consent (IDI)		08/09/2023
GenIC Request Template		08/09/2023
SSA		08/09/2023
SSB		08/09/2023

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

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