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[OLSS] CDC OneLab Formative Evaluation - Key Informant Semi-Structured Interviews

IC 275345 under ICR 202507-0920-010 · OMB 0920-1154.

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Form
Form
Form
IC Document
IC Document
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[OLSS] CDC OneLab Formative Evaluation - Key Informant Semi-Structured Interviews 0920-25-0094
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 0920-25-0094 Request 01_Request_OneLab Formative.docx Yes Yes Fillable Fileable
Form 0920-25-0094 Key Informant 04_Att1_Key Informant.docx Yes Yes Fillable Fileable
Form 0920-25-0094 Intake Form 06_Att4_Intake Form.docx Yes Yes Fillable Fileable

Health Health Care Services

 

100 0
   
Individuals or Households
 
   0 %

  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 100 0 0 0 0 100
Annual IC Time Burden (Hours) 93 0 0 0 0 93
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
SSA 02_SSA_OneLab Formative.docx 05/20/2025
SSB 03_SSB_OneLab Formative.docx 05/20/2025
Determination 09_Att6_PD+Human Subjects.pdf 05/20/2025
Email Notification 07_Att3_Emails.docx 05/20/2025
Consent form 08_Att5_Consent Form.docx 05/20/2025
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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