Information Collection

[NCZEID] Focus Groups and In-Depth Interviews with Travelers and Travel Medicine Specialists

IC 270207 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⚠️ Notice: This information collection may be referencing outdated material.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
Form 0920-24ID [NCZEID] Focus Groups and In-Depth Interviews with Travelers and Travel Medicine Specialists	Form
Form 0920-24ID Recruitment Screener [NCZEID] Focus Groups and In-Depth Interviews with Travelers and Travel Medicine Specialists	Form
Form 0920-24ID Consent Form [NCZEID] Focus Groups and In-Depth Interviews with Travelers and Travel Medicine Specialists	Form
Form 0920-24ID Focus Group Guide [NCZEID] Focus Groups and In-Depth Interviews with Travelers and Travel Medicine Specialists	Form
Form 0920-24ID Interview Recruitment Screener [NCZEID] Focus Groups and In-Depth Interviews with Travelers and Travel Medicine Specialists	Form
Form 0920-24ID Travel Med Specialists - Consent Form [NCZEID] Focus Groups and In-Depth Interviews with Travelers and Travel Medicine Specialists	Form
Form 0920-24ID Travel Med Specialists - Interview Guide [NCZEID] Focus Groups and In-Depth Interviews with Travelers and Travel Medicine Specialists	Form
0920-24ID Recruitment Screener Attch 1 - Intl Travelers - Screener - English 08 08 2024.docx	Form
0920-24ID Recruitment Screener Attch 1 - Intl Travelers - Screener - English 08 08 2024.docx	Form
0920-24ID Consent Form Attch 2 - Intl Travelers - Consent Form - English 08 08 2024.docx	Form
0920-24ID Consent Form Attch 2 - Intl Travelers - Consent Form - English 08 08 2024.docx	Form
0920-24ID Focus Group Guide Attch 3 - Intl Travelers - Focus Group Guide - English 08 08 2024.docx	Form
0920-24ID Focus Group Guide Attch 3 - Intl Travelers - Focus Group Guide - English 08 08 2024.docx	Form
0920-24ID Interview Recruitment Screener Attch 7 - Travel Med Specialists - Screener_08 08 2024.docx	Form
0920-24ID Interview Recruitment Screener Attch 7 - Travel Med Specialists - Screener_08 08 2024.docx	Form
0920-24ID Travel Med Specialists - Consent Form Attch 8 - Travel Med Specialists - Consent Form 08 08 2024.docx	Form
0920-24ID Travel Med Specialists - Consent Form Attch 8 - Travel Med Specialists - Consent Form 08 08 2024.docx	Form
0920-24ID Travel Med Specialists - Interview Guide Attch 9 - Travel Med Specialists - IDI Guide 08 08 2024.docx	Form
0920-24ID Travel Med Specialists - Interview Guide Attch 9 - Travel Med Specialists - IDI Guide 08 08 2024.docx	Form
Attch 4 - Intl Travelers - Screener - Spanish 08 08 2024.docx Recruitment Screener_ Spanish	IC Document
Attch 4 - Intl Travelers - Screener - Spanish 08 08 2024.docx Recruitment Screener_ Spanish	IC Document
Attch 5 - Intl Travelers - Consent Form - Spanish 08 08 2024.docx Consent Form_ Spanish	IC Document
Attch 5 - Intl Travelers - Consent Form - Spanish 08 08 2024.docx Consent Form_ Spanish	IC Document
Attch 5 - Intl Travelers - Consent Form - Spanish 08 08 2024.docx Consent Form - Spanish	IC Document
Attch 5 - Intl Travelers - Consent Form - Spanish 08 08 2024.docx Consent Form - Spanish	IC Document
Attch 10- Human Subjects Determination.pdf Human Subjects Determination	IC Document
Attch 10- Human Subjects Determination.pdf Human Subjects Determination	IC Document
GenIC Request Form 08 08 2024.docx MEMO_ GenIC	IC Document
GenIC Request Form 08 08 2024.docx MEMO_ GenIC	IC Document
Supporting Statement A 8 08 2024.docx SSA	IC Document
Supporting Statement A 8 08 2024.docx SSA	IC Document
Supporting Statement B 08 08 2024.docx SSB	IC Document
Supporting Statement B 08 08 2024.docx SSB	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

[NCZEID] Focus Groups and In-Depth Interviews with Travelers and Travel Medicine Specialists

Agency IC Tracking Number:

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	0920-24ID	Yes	Yes	Fillable Fileable
Form	0920-24ID	Yes	Yes	Fillable Fileable
Form	0920-24ID	Yes	Yes	Fillable Fileable
Form	0920-24ID	Yes	Yes	Fillable Fileable
Form	0920-24ID	Yes	Yes	Fillable Fileable
Form	0920-24ID	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: 672

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	672	672
Annual IC Time Burden (Hours)	132	132
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Recruitment Screener_ Spanish		08/16/2024
Consent Form_ Spanish		08/16/2024
Consent Form - Spanish		08/16/2024
Human Subjects Determination		08/16/2024
MEMO_ GenIC		08/16/2024
SSA		08/16/2024
SSB		08/16/2024

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

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