OMB control number
[NCSTLTPHIW] Information Collections to Advance State, Tribal, Local and Territorial (STLT) Governmental Agency System Performance, Capacity, and Program Delivery
OMB 0920-0879 · HHS/CDC.
OMB 0920-0879
CDC requests an Extension to the Generic Clearance to continue to collect information related to domestic public health issues and services that affect state, tribal, local, and territorial STLT governmental entities. The Extension ICR includes a list of GENIC projects that were approved in the previous clearance period (January 2021-June 2023). Also noted [see ICR Summary of Burden, below]: There is a significant reduction in Total Cost Burden for this Extension. In the previous clearance period, CDC reported the figure calculated in SSA.12. In this Extension, per guidance from HHS, CDC is reporting the dollar amount ($0) calculated in SSA.13 This Non-Substantive Change Request is submitted to amend a previously approved GenIC (Use and Acceptability of the Model Aquatic Health Code 2024) to increase the number of focus groups from three to six and to keep the survey open for an additional two weeks..The objective, scope, and questions for the focus group will not change, and increasing the number of focus groups will not impact the overall burden approved for this generic information collection, as it would reallocate 17 burden hours from the MAHC Use and Acceptability Survey to the Focus Group.
The latest form for [NCSTLTPHIW] Information Collections to Advance State, Tribal, Local and Territorial (STLT) Governmental Agency System Performance, Capacity, and Program Delivery expires 2026-08-31 and is listed under ICR 202410-0920-015.
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OMB Details
[PHIC/NCIRD] Pediatric Hepatitis-Adenovirus Case Control Evaluation, United States 2022-2026 (24CN)
Federal Enterprise Architecture: Health - Illness Prevention
| Form | Name | Electronic access | Type |
|---|---|---|---|
| Form 0920-0879 | Hepatitis pediátrica de etiología desconocida - Cuestionario sobre exposiciones (entrevista a los padres) | Fillable Fileable | Form and instruction |
| Form 0920-0879 | Hepatitis pediátrica de etiología desconocida. CONTROL del cuestionario sobre exposiciones (Entrevista a los padres) | Fillable Fileable | Form and instruction |
| Form 0920-0879 | Pediatric Hepatitis of Unknown Etiology - Exposures Questionnaire CONTROL (Parental Interview) | Fillable Fileable | Form and instruction |
| Form 0920-0879 | Pediatric Hepatitis of Unknown Etiology - Exposures Questionnaire (Parental Interview) | Fillable Fileable | Form and instruction |
| Form 0920-0879 | PEDIATRIC HEPATITIS OF UNKNOWN ETIOLOGY MEDICAL RECORD ABSTRACTION FORM | Fillable Fileable | Form and instruction |
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