[OS] CDC/ATSDR Formative Research and Tool Development

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Poliovirus Response Readiness Survey	Form and Instruction	New	Available
Form 0920-26-0149 Employee Survey	Form	New	Available
Form 0920-26-0149 Employee Focus Group Questions	Form	New	Available
Form 0920-26-0149 HeatStressTraining	Form	New	Available
Form 0920-26-0149 PostTraining Interview Script	Form	New	Available
Form 0920-26-0149 PostPrep Interview Script	Form	New	Available
Form 0920-26-0149 Initial Interview Script	Form	New	Available
Public Comment 1 screenshot.png	Public Comments	Uploaded 2025-09-12	Available
GenICRequestTemplate.docx	Supplementary Document	Uploaded 2026-01-29	Available
GenICRequestTemplate.docx	Supplementary Document	Uploaded 2026-01-29	Repair queued
Att 2 60d FRN published.pdf	Supplementary Document	Uploaded 2026-01-29	Available
Att 2 60d FRN published.pdf	Supplementary Document	Uploaded 2026-01-29	Repair queued
SSB_2025 v2.docx	Supporting Statement B	Uploaded 2026-01-29	Available
SSB_2025 v2.docx	Supporting Statement B	Uploaded 2026-01-29	Repair queued
SSA_2025 v2_final.docx	Supporting Statement A	Uploaded 2026-01-29	Available
SSA_2025 v2_final.docx	Supporting Statement A	Uploaded 2026-01-29	Available
Att 1 AuthLegislation.docx	Supplementary Document	Uploaded 2026-01-29	Available
Att 1 AuthLegislation.docx	Supplementary Document	Uploaded 2026-01-29	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
279613	[ORR] Poliovirus Facility Response Readiness Survey	Form and Instruction	New	Poliovirus Response Readiness Survey
279538	[NIOSH] Keeping Cool: Evaluating NIOSH's Heat Stress Training Module to Inform Resource Development and Research	Form	New	Employee Survey
279538	[NIOSH] Keeping Cool: Evaluating NIOSH's Heat Stress Training Module to Inform Resource Development and Research	Form	New	Employee Focus Group Questions
279538	[NIOSH] Keeping Cool: Evaluating NIOSH's Heat Stress Training Module to Inform Resource Development and Research	Form	New	HeatStressTraining
279538	[NIOSH] Keeping Cool: Evaluating NIOSH's Heat Stress Training Module to Inform Resource Development and Research	Form	New	PostTraining Interview Script
279538	[NIOSH] Keeping Cool: Evaluating NIOSH's Heat Stress Training Module to Inform Resource Development and Research	Form	New	PostPrep Interview Script
279538	[NIOSH] Keeping Cool: Evaluating NIOSH's Heat Stress Training Module to Inform Resource Development and Research	Form	New	Initial Interview Script
279538	[NIOSH] Keeping Cool: Evaluating NIOSH's Heat Stress Training Module to Inform Resource Development and Research	Form	New

ICR Details

OMB Control No: 0920-1154	ICR Reference No: 202512-0920-009
Status: Active	Previous ICR Reference No: 202507-0920-010
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-1154
Title: [OS] CDC/ATSDR Formative Research and Tool Development
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 03/03/2026
Retrieve Notice of Action (NOA)	Date Received in OIRA: 01/29/2026
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2029	36 Months From Approved	03/31/2026
Responses	150,000	0	75,000
Time Burden (Hours)	60,000	0	60,000
Cost Burden (Dollars)	0	0	0

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Abstract: CDC/ATSDR requests an extension of a generic clearance to conduct formative research for developing new tools and methodologies to support agency research, surveillance, and program evaluation activities, and the development and assessment of multi-use tools. This Revision has only minor edits and adjustments to the number of respondents. The burden remains the same.

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Authorizing Statute(s): US Code: 42 USC 241 Name of Law: PHSA
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	90 FR 31206	07/14/2025
30-day Notice:	Federal Register Citation:	Citation Date:
	90 FR 58015	12/15/2025
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 2

table that charts list of burden

IC Title	Form No.	Form Name
[NIOSH] Keeping Cool: Evaluating NIOSH's Heat Stress Training Module to Inform Resource Development and Research	0920-26-0149, 0920-26-0149, 0920-26-0149, 0920-26-0149, 0920-26-0149, 0920-26-0149	Initial Interview Script ,   PostPrep Interview Script ,   PostTraining Interview Script ,   HeatStressTraining ,   Employee Focus Group Questions ,   Employee Survey
[ORR] Poliovirus Facility Response Readiness Survey	n/a	Poliovirus Response Readiness Survey

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	150,000	75,000	0	75,000	0	0
Annual Time Burden (Hours)	60,000	60,000	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $474,091

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 01/29/2026

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