Information Collection

[NCEZID] Harmful Algal Blooms Communication Evaluation

IC 265153 under ICR 202507-0920-010 · OMB 0920-1154.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1154 can be found here:

2026-01-29 - Revision of a currently approved collection

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 0920-1154 Screening/Eligibility Form for Focus Groups (24CX) [NCEZID] Harmful Algal Blooms Communication Evaluation	Form
Form 0920-1154 Eligible Participant Screener for Focus Group (24CX) [NCEZID] Harmful Algal Blooms Communication Evaluation	Form
Form 0920-1154 Focus Group Moderator Guide (24CX) [NCEZID] Harmful Algal Blooms Communication Evaluation	Form and Instruction
Attachment 5 - Respondent Consent Form_FG.docx	Instruction
0920-1154 Screening/Eligibility Form for Focus Groups (24CX) Attachment 1 - Eligibility Screener.docx	Form
0920-1154 Eligible Participant Screener for Focus Group (24CX) Attachment 3 - Eligible Participant Screener_FG.docx	Form
0920-1154 Focus Group Moderator Guide (24CX) Attachment 8 - Focus Group Moderator Guide .docx	Form and Instruction
Attachment 2 - Recruitment Materials_FG.docx Recruitment Language (General and Post Copy)	IC Document
Attachment 4 - Privacy Agreement.docx Privacy Agreement (24CX)	IC Document
Attachment 6 - Standard Invitation_FG .docx Invitation (24CX)	IC Document
Attachment 7 - Participant Confirmation Email_FG.docx Participant Confirmation Email (24CX)	IC Document
Attachment 9 - Messages to be tested HABs.docx Messages to be Tested (HABs Focus Group)	IC Document
Attachment 10- Human Subjects Determination.pdf Human Subjects Determination	IC Document
GenIC Request HAB Communication Evaluation.docx Request for Approval under the “Generic Clearance 0920-1154" for "genI (24CX)	IC Document
SSA 021324.docx SSA (24CX)	IC Document
Supporting Statement B.docx SSB (24CX)	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

[NCEZID] Harmful Algal Blooms Communication Evaluation

Agency IC Tracking Number:

0920-1154-24CX

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	0920-1154	Yes	Yes	Fillable Fileable
Form	0920-1154	Yes	Yes	Fillable Fileable
Instruction		No		Paper Only
Form and Instruction	0920-1154	No		Paper Only

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: 420

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	420	420
Annual IC Time Burden (Hours)	80	80
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Recruitment Language (General and Post Copy)		02/12/2024
Privacy Agreement (24CX)		02/12/2024
Invitation (24CX)		02/12/2024
Participant Confirmation Email (24CX)		02/12/2024
Messages to be Tested (HABs Focus Group)		02/13/2024
Human Subjects Determination		02/13/2024
Request for Approval under the âGeneric Clearance 0920-1154" for "genI (24CX)		02/13/2024
SSA (24CX)		02/13/2024
SSB (24CX)		02/13/2024

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

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