Information Collection

[NCZEID] Focus Groups with Consumers on Oropouche

IC 272710 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⚠️ Notice: This information collection may be referencing outdated material.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 0920-25BP Focus Group Screener [NCZEID] Focus Groups with Consumers on Oropouche	Form
Form 0920-25BP Focus Group Discussion Guide [NCZEID] Focus Groups with Consumers on Oropouche	Form
0920-25BP Focus Group Screener Attachment 1 - CDC DVBD - Task 6 Oropouche - Focus Group Screener 10.28.24.docx	Form
0920-25BP Focus Group Discussion Guide Attachment 3 - CDC DVBD - Task 6 Oropouche - Focus Group Discussion Guide 10.28.24.docx	Form
Attachment 2 - CDC DVBD - Task 6 Oropouche - Focus Group Consent Form 10.28.24.docx Focus Group Consent Form	IC Document
Attachment 4a - CDC DVBD - Task 6 Oropouche - Draft Message Stimuli 10.28.24.pdf Draft Message Stimuli 1	IC Document
Attachment 4b - CDC DVBD - Task 6 Oropouche - Draft Message Stimuli 10.28.24.pdf Draft Message Stimuli 2	IC Document
Attachment 4c- CDC DVBD - Task 6 Oropouche - Draft Message Stimuli 10.28.24.png Draft Message Stimuli 3	IC Document
Attachment 5- Human Subjects Determination.pdf Human Subjects Determination	IC Document
GenIC Request Template.docx GenIC Request	IC Document
Supporting Statement A - CDC DVBD - Oropouche Data Collection - 10.28.2024 (002).docx SSA	IC Document
Supporting Statement B - CDC DVBD - Oropouche Data Collection - 10.28.24.docx SSB	IC Document

IC Title:

[NCZEID] Focus Groups with Consumers on Oropouche

Agency IC Tracking Number:

0920-25BP

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	0920-25BP				Yes	Yes	Fillable Fileable
Form	0920-25BP				Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 264

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	264	264
Annual IC Time Burden (Hours)	56	56
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Focus Group Consent Form		11/29/2024
Draft Message Stimuli 1		11/29/2024
Draft Message Stimuli 2		11/29/2024
Draft Message Stimuli 3		11/29/2024
Human Subjects Determination		11/29/2024
GenIC Request		11/29/2024
SSA		11/29/2024
SSB		11/29/2024

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].