Information Collection

[OLSS] CDC Onelab REACH Formative Evaluation

IC 277061 under ICR 202507-0920-010 · OMB 0920-1154.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Single Sign-up Survey [OLSS] CDC Onelab REACH Formative Evaluation Form and Instruction
Post Course Evaluation Survey [OLSS] CDC Onelab REACH Formative Evaluation Form and Instruction
User Experience Survey [OLSS] CDC Onelab REACH Formative Evaluation Form and Instruction
Mini Lesson Job Aid Surveys [OLSS] CDC Onelab REACH Formative Evaluation Form and Instruction
PACE and non PACE Evaluation Survey [OLSS] CDC Onelab REACH Formative Evaluation Form and Instruction
Single Sign-up Survey
04_Att1_OneLab REACH Single Sign-Up Survey_08-12-2025.docx
Form and Instruction
Post Course Evaluation Survey
05_Att2_OneLab REACH Post Course Evaluation Survey_08-12-2025.docx
Form and Instruction
User Experience Survey
06_Att3_OneLab REACH User Experience Survey_08-12-2025.docx
Form and Instruction
Mini Lesson Job Aid Surveys
07_Att4_OneLab REACH MiniLesson_JobAid_Surveys_08-12-2025.docx
Form and Instruction
PACE and non PACE Evaluation Survey
08_Att5_OneLab REACH PACE and non PACE Evaluation Survey_08-12-25.docx
Form and Instruction
01_Formative Research_GenIC Request_CDC OneLab REACH_08-12-2025.docx
GenIC Request Template
IC Document
02_Supporting Statement A_OneLab REACH_08-12-25_final.docx
SSA
IC Document
03_Supporting Statement B_OneLab REACH_07-31-25.docx
SSB
IC Document
09_Att6 _ Survey invitation_ Post Course_07-31-2025.docx
Survey Invitation Post Course
IC Document
10_Att7 _Survey invitation_Other_07-31-2025.docx
Survey Invitation Other
IC Document
11_Att8_OneLab REACH One Pager.pdf
REACH One Pager
IC Document
12_Att9_Project Determination_Human Subjects Research Determination.pdf
Research Determination
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 n/a Yes Yes Fillable Fileable
Form and Instruction n/a Yes Yes Fillable Fileable
Form and Instruction n/a Yes Yes Fillable Fileable
Form and Instruction n/a Yes Yes Fillable Fileable
Form and Instruction n/a Yes Yes Fillable Fileable

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  Approved 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 50,000 0 50,000 0 0 0
Annual IC Time Burden (Hours) 12,333 0 12,333 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Documents for IC
table that charts IC Documents
Title Document Date Uploaded
GenIC Request Template 08/14/2025
SSA 08/14/2025
SSB 08/14/2025
Survey Invitation Post Course 08/14/2025
Survey Invitation Other 08/14/2025
REACH One Pager 08/14/2025
Research Determination 08/14/2025
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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