Information Collection

[NCIPC] Adoption Accelerator Social Network Analysis (Formative Research)

IC 269261 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⚠️ Notice: This information collection may be referencing outdated material.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:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 0920-24GZ Sheriffs’ Advice-Seeking Survey [NCIPC] Adoption Accelerator Social Network Analysis (Formative Research)	Form
0920-24GZ Sheriffs’ Advice-Seeking Survey Attachment A. Sheriffs' Advice-Seeking Survey Instrument April 2024.docx	Form
Adoption_Accel_GenIC Formative Research_SSA April 2024 clean RGK.docx SSA	IC Document
Adoption_Accel_GenIC Formative Research_SSB April 2024 RGK.docx SSB	IC Document
Attachment H. Exemption Review Board (IRB) documentation.pdf IRB Determination	IC Document
Attachment A_I. Survey Screenshots.docx Survey Screenshot	IC Document
Attachment B. Sheriffs' Advice-Seeking Survey Announcement Email April 2024.docx Survey Announcement Email	IC Document
Attachment C. Sheriffs' Advice-Seeking Survey Link Email April 2024.docx Survey Link Email	IC Document
Attachment D. Sheriffs' Advice-Seeking Survey Reminder Email 1 April 2024.docx Survey Reminder Email 1	IC Document
Attachment E. Sheriffs' Advice-Seeking Survey Reminder Email 2 April 2024.docx Survey Reminder Email 2	IC Document
Attachment F. Sheriffs' Advice-Seeking Survey Telephone Reminder April 2024.docx Telephone Reminder	IC Document
Attachment G. Sheriffs' Advice-Seeking Survey Mailed Reminder April 2024.docx Mailed Reminder	IC Document

IC Title:

[NCIPC] Adoption Accelerator Social Network Analysis (Formative Research)

Agency IC Tracking Number:

0920-1154-24GZ

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

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	0920-24GZ				Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 300

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	300	300
Annual IC Time Burden (Hours)	95	95
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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

Something went wrong when downloading this file. If you have any questions, please send an email to [email protected].