Information Collection

[OLSS] CDC Onelab REACH Formative Evaluation

IC 277061 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⚠️ Notice: This information collection may be referencing outdated material.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:

2026-01-29 - Revision of a currently approved collection

Documents and Forms

Document Name Document 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)

IC Title:	[OLSS] CDC Onelab REACH Formative Evaluation	Agency IC Tracking Number:	0920-25-0153

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	n/a	Single Sign-up Survey	04_Att1_OneLab REACH Single Sign-Up Survey_08-12-2025.docx	Yes	Yes	Fillable Fileable
Form and Instruction	n/a	Post Course Evaluation Survey	05_Att2_OneLab REACH Post Course Evaluation Survey_08-12-2025.docx	Yes	Yes	Fillable Fileable
Form and Instruction	n/a	User Experience Survey	06_Att3_OneLab REACH User Experience Survey_08-12-2025.docx	Yes	Yes	Fillable Fileable
Form and Instruction	n/a	Mini Lesson Job Aid Surveys	07_Att4_OneLab REACH MiniLesson_JobAid_Surveys_08-12-2025.docx	Yes	Yes	Fillable Fileable
Form and Instruction	n/a	PACE and non PACE Evaluation Survey	08_Att5_OneLab REACH PACE and non PACE Evaluation Survey_08-12-25.docx	Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 50,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	50,000	50,000
Annual IC Time Burden (Hours)	12,333	12,333
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
GenIC Request Template	01_Formative Research_GenIC Request_CDC OneLab REACH_08-12-2025.docx	08/14/2025
SSA	02_Supporting Statement A_OneLab REACH_08-12-25_final.docx	08/14/2025
SSB	03_Supporting Statement B_OneLab REACH_07-31-25.docx	08/14/2025
Survey Invitation Post Course	09_Att6 _ Survey invitation_ Post Course_07-31-2025.docx	08/14/2025
Survey Invitation Other	10_Att7 _Survey invitation_Other_07-31-2025.docx	08/14/2025
REACH One Pager	11_Att8_OneLab REACH One Pager.pdf	08/14/2025
Research Determination	12_Att9_Project Determination_Human Subjects Research Determination.pdf	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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