Information Collection

[NCEH] Evaluating Content and Usability of CDC's Clinical Heat Guidance

IC 273021 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⚠️ Notice: This information collection may be referencing outdated material.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 0920-1154 [NCEH] Evaluating Content and Usability of CDC's Clinical Heat Guidance	Form and Instruction
Form 0920-1154 Physician - Survey for Community Health Center Physicians and Non-Physicians on CDC’s Clinician Heat Guidance [NCEH] Evaluating Content and Usability of CDC's Clinical Heat Guidance	Form and Instruction
Form 0920-1154 Non-Physician - Survey for Community Health Center Physicians and Non-Physicians on CDC’s Clinician Heat Guidance [NCEH] Evaluating Content and Usability of CDC's Clinical Heat Guidance	Form and Instruction
Form 0920-1154 Physician - Survey for Community Health Center Physicians and Non-Physicians on CDC’s Clinician Heat Guidance_Spanish [NCEH] Evaluating Content and Usability of CDC's Clinical Heat Guidance	Form and Instruction
Form 0920-1154 Non-Physician - Survey for Community Health Center Physicians and Non-Physicians on CDC’s Clinician Heat Guidance_Spanish [NCEH] Evaluating Content and Usability of CDC's Clinical Heat Guidance	Form and Instruction
0920-1154 Physician - Survey for Community Health Center Physician Attachment 1. CDC Clinical Heat Guidance Survey Instrument.docx	Form and Instruction
0920-1154 Physician - Survey for Community Health Center Physician Attachment 1. CDC Clinical Heat Guidance Survey Instrument.docx	Form and Instruction
0920-1154 Non-Physician - Survey for Community Health Center Physi Attachment 1. CDC Clinical Heat Guidance Survey Instrument.docx	Form and Instruction
0920-1154 Non-Physician - Survey for Community Health Center Physi Attachment 1. CDC Clinical Heat Guidance Survey Instrument.docx	Form and Instruction
0920-1154 Physician - Survey for Community Health Center Physician Attachment 12. CDC Heat Guidance Survey Instrument_Spanish.docx	Form and Instruction
0920-1154 Physician - Survey for Community Health Center Physician Attachment 12. CDC Heat Guidance Survey Instrument_Spanish.docx	Form and Instruction
0920-1154 Non-Physician - Survey for Community Health Center Physi Attachment 12. CDC Heat Guidance Survey Instrument_Spanish.docx	Form and Instruction
0920-1154 Non-Physician - Survey for Community Health Center Physi Attachment 12. CDC Heat Guidance Survey Instrument_Spanish.docx	Form and Instruction
Attachement 3. Example of Programmed Survey.PNG Program Survey - Sample	IC Document
Attachement 3. Example of Programmed Survey.PNG Program Survey - Sample	IC Document
Attachment 2. Programmed CDC-Heat_Guidance Survey Flow.docx Program Survey - Sample Work Flow	IC Document
Attachment 2. Programmed CDC-Heat_Guidance Survey Flow.docx Program Survey - Sample Work Flow	IC Document
Attachment 7. Recruitment Flyer.png Recruitment Flyer	IC Document
Attachment 7. Recruitment Flyer.png Recruitment Flyer	IC Document
Attachments 4-6 - Recruitment, Reminder and Final Reminder Emails.docx Recruitment, Reminder and Final Reminder Emails	IC Document
Attachments 4-6 - Recruitment, Reminder and Final Reminder Emails.docx Recruitment, Reminder and Final Reminder Emails	IC Document
Attachment 9. Project determination.pdf Project Determination	IC Document
Attachment 9. Project determination.pdf Project Determination	IC Document
SSA - for CDC Clinical Heat Guidance Eval 12.13.24.docx Supporting Statement A	IC Document
SSA - for CDC Clinical Heat Guidance Eval 12.13.24.docx Supporting Statement A	IC Document
SSB - for CDC Clinical Heat Guidance Eval - GenIC 1154 -11.18.24.docx Supporting Statement B	IC Document
SSB - for CDC Clinical Heat Guidance Eval - GenIC 1154 -11.18.24.docx Supporting Statement B	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

[NCEH] Evaluating Content and Usability of CDC's Clinical Heat Guidance

Agency IC Tracking Number:

0920-1154-25CD

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	0920-1154	N/A	Yes	Yes	Fillable Fileable
Form and Instruction	0920-1154	N/A	Yes	Yes	Fillable Fileable
Form and Instruction	0920-1154	N/A	Yes	Yes	Fillable Fileable
Form and Instruction	0920-1154	N/A	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: 1,000

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions, Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	1,000	1,000
Annual IC Time Burden (Hours)	250	250
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Program Survey - Sample		12/13/2024
Program Survey - Sample Work Flow		12/13/2024
Recruitment Flyer		12/13/2024
Recruitment, Reminder and Final Reminder Emails		12/13/2024
Project Determination		12/13/2024
Supporting Statement A		12/13/2024
Supporting Statement B		12/13/2024

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

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