Information Collection

Creative Concept Testing on Antimicrobial Resistance

IC 268471 under ICR 202507-0920-010 · OMB 0920-1154.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Form 0920-1154
Focus Group Screener for Consumers, Including Parents Creative Concept Testing on Antimicrobial Resistance
Form and Instruction
Form 0920-1154
Interview Screener for Healthcare Providers Creative Concept Testing on Antimicrobial Resistance
Form and Instruction
Form 0920-1154
Focus Group Guide for Consumers about Antimicrobial Resistance Concept Testing Creative Concept Testing on Antimicrobial Resistance
Form and Instruction
Form 0920-1154
Interview Guide for Healthcare Professionals about Antimicrobial Resistance Concept Testing Creative Concept Testing on Antimicrobial Resistance
Form and Instruction
0920-1154 Focus Group Screener for Consumers, Including Parents
Attachment 1_WS-CDC ARX_Concept Testing Screener_Consumer FGs_5.10.24_V1.docx
Form and Instruction
0920-1154 Interview Screener for Healthcare Providers
Attachment 2_WS-CDC ARX_Concept Testing Screener_HCP IDIs_5.10.24_V1.docx
Form and Instruction
0920-1154 Focus Group Guide for Consumers about Antimicrobial Resi
Attachment 5_WS-CDC ARX_Concept Testing Guide_Consumer FGs_5.31.24_FINAL.docx
Form and Instruction
0920-1154 Interview Guide for Healthcare Professionals about Antim
Attachment 6_WS-CDC ARX_Concept Testing Guide_HCP IDIs_5.31.24_FINAL.docx
Form and Instruction
Attachment 6_WS-CDC ARX_Concept Testing Guide_HCP IDIs_5.31.24_FINAL.docx
SSA
IC Document
WS-CDC ARX_Creative Testing OMB Supporting Statement B_FINAL.docx
SSB
IC Document
WS-CDC ARX_Creative Testing Gen IC Request Form_FINAL.docx
Request for Approval under the “Generic Clearance for the Collection (OMB Control Number: 0920-1154)
IC Document
Attachment 3_WS-CDC ARX_Concept Testing Consent Form_Consumer FGs_5.10.24_V1.docx
Focus Group Consent Form for ARX Creative Concept Testing
IC Document
Attachment 4_WS-CDC ARX_Concept Testing Consent Form_HCP IDIs_5.10.24_V1.docx
Interview Consent Form for ARX Creative Concept Testing
IC Document
Attachment 7_WS-CDC ARX_Creative Concepts_6.3.pdf
Antimicrobial Resistance Coordination and Strategy Unit
IC Document
Attachment 8_Human Subjects Determination Memo.pdf
Determination of Non-applicability
IC Document

Information Collection (IC) Details

View Information Collection (IC)

layout table

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

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  Requested Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 616 0 0 0 0 616
Annual IC Time Burden (Hours) 127 0 0 0 0 127
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Documents for IC
table that charts IC Documents
Title Document Date Uploaded
SSA 06/14/2024
SSB 06/14/2024
Request for Approval under the “Generic Clearance for the Collection (OMB Control Number: 0920-1154) 06/14/2024
Focus Group Consent Form for ARX Creative Concept Testing 06/14/2024
Interview Consent Form for ARX Creative Concept Testing 06/14/2024
Antimicrobial Resistance Coordination and Strategy Unit 06/14/2024
Determination of Non-applicability 06/14/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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