OMB control number

Availability, Use, and Public Health Impact of Emergency Supply Kits among Disaster-Affected Populations

OMB 0920-1344 · HHS/CDC.

OMB 0920-1344

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Focus Group screenerForm and Instruction
Focus group screenerForm and Instruction
Survey questionnaire - web-basedForm
Questionnaire - web-basedForm
Survey questionnaireForm
Questionnaire - paper-basedForm
Non-Substantive Change Request 0920-1344 30SEP2022.docx Justification for No Material/Nonsubstantive Change
P_Att9_NonSub Change Template_20210729.docx Supplementary Document
1 - Emergency Supply Kits_SSA_20210730.docxSupporting Statement A
P_Att7C_FocusGrp_TrckngSheet_20200924 clean.docx Supplementary Document
P_Att7B_FocusGrp Inf Cnsnt_20201117_clean.docx Supplementary Document
P_Att7_FocusGrp Protocol_20210114 clean.docx Supplementary Document
P_Att6_Survey Postcard Rmndr_20200924 clean.docx Supplementary Document
P_Att5A_Survey Inf Cnsnt__WebBased_20200924 clean.pdf Supplementary Document
P_Att5_Survey Inf Cnsnt_PaperBased_20200924 clean.docx Supplementary Document
P_Att4_Survey Intro Lttr_20200924 clean.docx Supplementary Document
P_Att3_Survey Non-Prob Panel Invtation_20200924 clean.docx Supplementary Document
AppndxC IRB Apprvl Memo.docx Supplementary Document
AppndxB 60D FRN.pdf Supplementary Document
AppndxA_AuthorizingLegislation.docx Supplementary Document
1 - Emergency Supply Kits_List Appndcs Attmnts_20210108.docx Supplementary Document
1 - Emergency Supply Kits_SSB_20210108.docx (document unavailable)Supporting Statement B
Focus group discussion guide Other-Discussion guide
Focus group screener Form and Instruction
Focus group screener Form and Instruction
Questionnaire - web-based Form
Questionnaire - web-based Form
Questionnaire - paper-based Form
Questionnaire - paper-based Form

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202209-0920-026 No material or nonsubstantive change to a currently approved collection 2022-09-30 Approved without change
202101-0920-016 New collection (Request for a new OMB Control Number) 2021-02-08 Approved with change