Information Collection Request

Evaluating the Impact of Training and Technical Assistance (TTA)

ICR 202608-0920-006 · OMB 0920-1193 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 0920-26-0262 Attachment 4n_Focus Group Guide Form and Instruction New Available
Form 0920-26-0262 Attachment 4j_Focus Group Scheduling Form Form and Instruction New Available
Form 0920-26-0262 Attachment 4e_Focus Group Nomination Form Form and Instruction New Available
Form 0920-26-0262 Attachment 5f_Web Survey (word) Form Modified Available
Form 0920-26-0262 Attachment 5f_Web Survey Form Modified Available
Form n/ Case Study Interview Guide for TTA Provider Partners Form and Instruction Removed Available
Case Study Interview Guide for TTA Provider Evaluators Form and Instruction Removed Available
Case Study Interview Guide for TTA Provider Program Directors or Managers Form and Instruction Removed Available
Form 0920-26-0262 Attachment 4e_Focus Group Nomination Form Form and Instruction Modified Available
Attachment 4h_Focus Group and Web Survey Nomination Reminder Email.docx Supplementary Document Uploaded 2026-09-01 Available
Attachment 4i_Focus Group Invitation Email.docx Supplementary Document Uploaded 2026-09-01 Available
Attachment 4k_Focus Group Confirmation Email.docx Supplementary Document Uploaded 2026-09-01 Available
Attachment 4l_Focus Group Calendar Invitation.docx Supplementary Document Uploaded 2026-09-01 Available
Attachment 4m_Focus Group Informed Consent Statement.docx Supplementary Document Uploaded 2026-09-01 Available
Attachment 4o_Focus Group Thank You Email.docx Supplementary Document Uploaded 2026-09-01 Available
Attachment 5a_Web-Based Survey Pre-Notification Email from CDC.docx Supplementary Document Uploaded 2026-09-01 Available
Attachment 5b_Web-Based Survey Invitation Email.docx Supplementary Document Uploaded 2026-09-01 Available
Attachment 5c_Web-Based Survey First Reminder Email.docx Supplementary Document Uploaded 2026-09-01 Available
Attachment 5d_Web-Based Survey Second Reminder Email.docx Supplementary Document Uploaded 2026-09-01 Available
Attachment 5e_Web-Based Survey Final Reminder Email.docx Supplementary Document Uploaded 2026-09-01 Available
Attachment 5h_Web-Based Survey Informed Consent.docx Supplementary Document Uploaded 2026-09-01 Available
Attachment 5i_Web-Based Survey Thank You Email.docx Supplementary Document Uploaded 2026-09-01 Available
Attachment 6_CDC STARS non research determination_2026_07.17_FINAL.pdf Supplementary Document Uploaded 2026-09-01 Available
Attachment 4g_Focus Group Nomination Reminder Email.docx Supplementary Document Uploaded 2026-09-01 Available
Attachment 4d_Introductory Focus Group and Web Survey Email from ICF.docx Supplementary Document Uploaded 2026-09-01 Available
Attachment 4b_Introductory Focus Group and Web Survey Email from CDC.docx Supplementary Document Uploaded 2026-09-01 Available
Attachment 4a_Introductory Focus Group Email from CDC.docx Supplementary Document Uploaded 2026-09-01 Available
Attachment 3b_Evaluation Matrix for DP23-0017.docx Supplementary Document Uploaded 2026-09-01 Available
Attachment 3a Logic Model for DP23-0017.pdf Supplementary Document Uploaded 2026-09-01 Available
Attachment 1_Authorizing Legislation_Public Health Service Act.pdf Supplementary Document Uploaded 2026-09-01 Available
0920-1193 Privacy Narrative_2026- CA signed.pdf Supplementary Document Uploaded 2026-09-01 Available
0920-1193_SSB_2026_07.17_FINAL.docx Supporting Statement B Uploaded 2026-09-01 Available
0920-1193_SSA_2026_07.17_FINAL.docx Supporting Statement A Uploaded 2026-09-01 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
282283 Focus Group Guide Form and Instruction NewAttachment 4n_Focus Group Guide
282282 Focus Group Scheduling Form Form and Instruction NewAttachment 4j_Focus Group Scheduling Form
282281 Focus Group and Web Survey Nomination Form- PD Form and Instruction NewAttachment 4e_Focus Group Nomination Form
242185 Web-based Survey of Coalition Members and NCCCP Partners Form ModifiedAttachment 5f_Web Survey (word)
226625 Web-based Survey Program Directors and Staff Form ModifiedAttachment 5f_Web Survey
226623 Case Study Interview of TTA Provider Partners Form and Instruction RemovedCase Study Interview Guide for TTA Provider Partners
226620 Case Study Interview for TTA Provider Evaluators Form and Instruction RemovedCase Study Interview Guide for TTA Provider Evaluators
226619 Case Study Interview of TTA Provider Program Directors or Managers Form and Instruction RemovedCase Study Interview Guide for TTA Provider Program Directors or Managers
226615 Focus Group and Web Survey Nomination Form Form and Instruction ModifiedAttachment 4e_Focus Group Nomination Form

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
36 Months From Approved
184 0
97 0
0 0





Reginfo record details
6
table that charts list of burden
IC Title Form No. Form Name
Case Study Interview for TTA Provider Evaluators n/a
Case Study Interview of TTA Provider Partners n/
Case Study Interview of TTA Provider Program Directors or Managers n/a
Focus Group Guide 0920-26-0262
Focus Group Scheduling Form 0920-26-0262
Focus Group and Web Survey Nomination Form 0920-26-0262
Focus Group and Web Survey Nomination Form- PD 0920-26-0262
Web-based Survey Program Directors and Staff 0920-26-0262
Web-based Survey of Coalition Members and NCCCP Partners 0920-26-0262

table that charts list of burden
  Total Request 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 184 0 0 76 103 5
Annual Time Burden (Hours) 97 0 0 45 46 6
Annual Cost Burden (Dollars) 0 0 0 -174 0 174


Reginfo record details
  No