[OS] CDC/ATSDR Formative Research and Tool Development

ICR 202503-0920-028

OMB: 0920-1154

Federal Form Document

Forms and Documents

Document Name	Status
Form 25-0003 [NCZEID] Harmful Algal Blooms Shellfish Communication Evaluation Form	Unchanged
Form 0920-1154 [NCEZID] Communication Evaluation Assessing Foodborne, Waterborne and Mycotic Disease Prevention Form and Instruction	Unchanged
Form 0920-1154 [NCEH] Evaluating Content and Usability of CDC's Clinical Heat Guidance Form and Instruction	Unchanged
Form 0920-25BU [NCZEID] Formative Evaluation and Message Testing of Antimicrobial Resistance Among Sandwich Generation Consumers Form	Unchanged
Form 0920-25BP [NCZEID] Focus Groups with Consumers on Oropouche Form	Unchanged
[NCIPC] Formative Evaluation for Transportation Safety Resource for Action Tool Form and Instruction	Unchanged
Form 0920-1154 [OPHDST] Foundational User Interviews with the Public Form and Instruction	Unchanged
[NIOSH] Developing a Framework to Identify and Address Job Hazards Unique to Women Mine Workers Form and Instruction	Unchanged
[CPR] Successes of and Barriers to Distribution of Personal Protective Equipment (PPE) During the 2024 Dairy Cattle H5N1 Outbreak Form and Instruction	Unchanged
Form 0920-1154 [NIOSH] Assessment of Task-Based Exposures That May Affect Reproductive Health in Nail Salon Employees Form and Instruction	Unchanged
Form 0920-1154 [NCIPC] Adverse Childhood Experiences Prevention Message Development Form and Instruction	Modified
Form 0920-24ID [NCZEID] Focus Groups and In-Depth Interviews with Travelers and Travel Medicine Specialists Form	Unchanged
Form 0920-1154 [NCBDDD](genIC) Feedback Survey for Community Counts Data Viz Tool Form and Instruction	Unchanged
Form 0920-24HY [NCIPC] Caring Adults Perceptions on Teen Mental Health Form	Unchanged
Form 0920-1154 [NIOSH] Keeping Cool: Evaluating NIOSH's Heat Stress Training Module to Inform Resource Development and Research Form and Instruction	Unchanged
Form 0920-24GZ [NCIPC] Adoption Accelerator Social Network Analysis (Formative Research) Form	Unchanged
[NCIPC] Youth Audience Message Testing of Substance Use Prevention Messages Form and Instruction	Unchanged
Form 0920-1154 Creative Concept Testing on Antimicrobial Resistance Form and Instruction	Unchanged
Form 0920-24GC [CPR] This is a T.E.S.T. Form	Unchanged
Form 092061154 [NCEZID] Hospital System Approach to Collecting Race, Ethnicity, and Language Data Form	Unchanged
Form 0920-1154 [NIOSH] Assessment of Task-Based Exposures that may Affect Reproductive Health in Nail Salon Employees Form and Instruction	Unchanged
Form 0920-24EB [CPR] Pilots Evaluation of Interventions for Building Resilience for State and Local Health Department Staff Responding to Public Health Emergencies Form	Unchanged
Form 0920-1154-24ES In-Depth Interviews with Healthcare Professionals about C. Diff Materials Form and Instruction	Unchanged
Form 0920-24EH [NCZEID] CDC One Health Zoonotic Disease Prioritization (OHZDP) Evaluation Process Form	Unchanged
Form 0920-24DM [NCZEID] Formative Communications Assessment on Antimicrobial Resistance Form	Unchanged
Form 0920-1154 [NCEZID] Harmful Algal Blooms Communication Evaluation Form	Unchanged
Form 0920-1154 [NCEZID] (genIC) Healthcare Provider Communication Evaluation: Assessing Foodborne Illness and Waterborne Illness Prevention Messages, Knowledge, and Attitudes Form	Unchanged
Form 0920-1154 [NCEZID] Wastewater Surveillance Communication Evaluation: Assessing Water Surveillance Messages, Knowledge, and Attitudes (24CP) Form	Unchanged
(NCEZID) Focus Groups with Infectious Disease Physicians and Pharmacists on Antifungal Therapeutic Drug Monitoring Form and Instruction	Unchanged
Form 0920-24CA [NCZEID] Focus Groups and Interviews with Consumers and HCPs on Alpha-Gal Syndrome Form and Instruction	Unchanged
Form 0920-1154-24CC [NCIPC] Screening Survey for focus groups and interviews Form	Unchanged
[NCEZID] Focus Groups with Healthcare Providers on Endemic Mycoses Form and Instruction	Unchanged
Form 0920-24BQ [NICPC] Child Abuse and Neglect Prevention Message Development Form and Instruction	Unchanged
[NCIPC] Formative Research for Firearm Violence and Community Violence Messaging Form and Instruction	Unchanged
Form 0920-1154 Message Evaluation for CDC's Stop Overdose Campaigns (Broadcast Radio & Digital Ad Surveys) Form and Instruction	Unchanged
[OLSS] CDC OneLab REACH Formative Evaluation Form and Instruction	Unchanged
Form 0920-1154-24AR [CSELS/DLS]CDC OneLab Network Formative Evaluation Form and Instruction	Unchanged
Form 0920-1154 Feedback Survey for Community Counts Data Viz Tool Form and Instruction	Unchanged
Form 0920-1154 [NCEZID] In-depth Interviews with Hispanic or Latina Women on the Topic of Climate Change and Infectious Diseases Form and Instruction	Unchanged
[NCEZID] Public Health Communications Messages and Materials Testing Focused on Antimicrobial Resistance Among the U.S. General Population Pilot Data Collection Project Form and Instruction	Unchanged
Form 0920-23GU [NIOSH] Formative Assessment of the Information Needs to Prevent Skin Cancer Among Spanish speaking Outdoor Workers Form and Instruction	Unchanged
[NIOSH] Increasing the Impact of NIOSH Heat Stress Products in Outdoor Worker Populations Form and Instruction	Unchanged
[NCCDPHP] Formative Evaluation, Implementation and Rapid Evaluation (FIRE) of Diabetes Self-Management in Disproportionately Affected Populations (DAPs) Provider Listening Sessions (Phase I) Form and Instruction	Unchanged
Formative Research for Spanish-Language Drug Overdose Messages Form and Instruction	Unchanged
Form 0920- 23DF [CPR] Evaluation on Acceptability and Effectiveness of Pilot Project This is a Tabletop Exercise Simulation Tool (T.E.S.T.) Form and Instruction	Unchanged
[NCEZID] Food Safety Communication Evaluation: Assessing Food Safety Messages, Knowledge, and Attitudes Form and Instruction	Unchanged
ACEs_0920-1154_Change Request Memo - EO14168.docx Justification for No Material/Nonsubstantive Change	2025-03-25
60day.docx Supplementary Document	2023-01-30
30day.2.docx Supplementary Document	2023-01-30
GenICRequestTemplate.docx Supplementary Document	2019-12-05
60 day FRN.pdf Supplementary Document	2019-12-05
SSB.docx Supporting Statement B	2019-12-05
SSA.2022.docx Supporting Statement A	2023-01-30
AuthLegislation.doc Supplementary Document	2016-10-20

IC Document Collections

IC ID	Document Title	Status
273877	[NCZEID] Harmful Algal Blooms Shellfish Communication Evaluation Form	Unchanged
273434	[NCEZID] Communication Evaluation Assessing Foodborne, Waterborne and Mycotic Disease Prevention Form and Instruction	Unchanged
273021	[NCEH] Evaluating Content and Usability of CDC's Clinical Heat Guidance Form and Instruction	Unchanged
272892	[NCZEID] Formative Evaluation and Message Testing of Antimicrobial Resistance Among Sandwich Generation Consumers Form	Unchanged
272710	[NCZEID] Focus Groups with Consumers on Oropouche Form	Unchanged
272172	[NCIPC] Formative Evaluation for Transportation Safety Resource for Action Tool Form and Instruction	Unchanged
272084	[OPHDST] Foundational User Interviews with the Public Form and Instruction	Unchanged
271878	[NIOSH] Developing a Framework to Identify and Address Job Hazards Unique to Women Mine Workers Form and Instruction	Unchanged
271822	[CPR] Successes of and Barriers to Distribution of Personal Protective Equipment (PPE) During the 2024 Dairy Cattle H5N1 Outbreak Form and Instruction	Unchanged
271778	[NIOSH] Assessment of Task-Based Exposures That May Affect Reproductive Health in Nail Salon Employees Form and Instruction	Unchanged
270987	[NCIPC] Adverse Childhood Experiences Prevention Message Development Form and Instruction	Modified
270391	[NOISH] Customer Discovery Interviews with Five NIOSH Audiences Instruction	Unchanged
270207	[NCZEID] Focus Groups and In-Depth Interviews with Travelers and Travel Medicine Specialists Form	Unchanged
270185	[NCBDDD](genIC) Feedback Survey for Community Counts Data Viz Tool Form and Instruction	Unchanged
269870	[NCIPC] Caring Adults Perceptions on Teen Mental Health Form	Unchanged
269522	[NCIPC] Adolescent Mental Health Journey Mapping Project Instruction	Unchanged
269497	[NCIPC] Caring Adults Perceptions on Teen Mental Health Instruction	Unchanged
269300	[NIOSH] Keeping Cool: Evaluating NIOSH's Heat Stress Training Module to Inform Resource Development and Research Form and Instruction	Unchanged
269261	[NCIPC] Adoption Accelerator Social Network Analysis (Formative Research) Form	Unchanged
268538	[NCIPC] Youth Audience Message Testing of Substance Use Prevention Messages Form and Instruction	Unchanged
268471	Creative Concept Testing on Antimicrobial Resistance Form and Instruction	Unchanged
268340	[CPR] This is a T.E.S.T. Form	Unchanged
267631	[NCEZID] Hospital System Approach to Collecting Race, Ethnicity, and Language Data Form	Unchanged
267350	[NIOSH] Assessment of Task-Based Exposures that may Affect Reproductive Health in Nail Salon Employees Form and Instruction	Unchanged
267344	[CPR] Pilots Evaluation of Interventions for Building Resilience for State and Local Health Department Staff Responding to Public Health Emergencies Form	Unchanged
266946	In-Depth Interviews with Healthcare Professionals about C. Diff Materials Form and Instruction	Unchanged
266547	[NCZEID] CDC One Health Zoonotic Disease Prioritization (OHZDP) Evaluation Process Form	Unchanged
265912	[NCZEID] Formative Communications Assessment on Antimicrobial Resistance Form	Unchanged
265153	[NCEZID] Harmful Algal Blooms Communication Evaluation Form	Unchanged
264920	[NCEZID] (genIC) Healthcare Provider Communication Evaluation: Assessing Foodborne Illness and Waterborne Illness Prevention Messages, Knowledge, and Attitudes Form	Unchanged
264849	[NCEZID] Wastewater Surveillance Communication Evaluation: Assessing Water Surveillance Messages, Knowledge, and Attitudes (24CP) Form	Unchanged
264809	(NCEZID) Focus Groups with Infectious Disease Physicians and Pharmacists on Antifungal Therapeutic Drug Monitoring Form and Instruction	Unchanged
264581	[NCZEID] Focus Groups and Interviews with Consumers and HCPs on Alpha-Gal Syndrome Form and Instruction	Unchanged
264563	[NCIPC] Screening Survey for focus groups and interviews Form	Unchanged
264149	[NCEZID] Focus Groups with Healthcare Providers on Endemic Mycoses Form and Instruction	Unchanged
264017	[NICPC] Child Abuse and Neglect Prevention Message Development Form and Instruction	Unchanged
263776	[NCIPC] Formative Research for Firearm Violence and Community Violence Messaging Form and Instruction	Unchanged
263672	Message Evaluation for CDC's Stop Overdose Campaigns (Broadcast Radio & Digital Ad Surveys) Form and Instruction	Unchanged
263317	[OLSS] CDC OneLab REACH Formative Evaluation Form and Instruction	Unchanged
263194	[CSELS/DLS]CDC OneLab Network Formative Evaluation Form and Instruction	Unchanged
261872	Feedback Survey for Community Counts Data Viz Tool Form and Instruction	Unchanged
261557	[NCEZID] In-depth Interviews with Hispanic or Latina Women on the Topic of Climate Change and Infectious Diseases Form and Instruction	Unchanged
261493	[NCEZID] Public Health Communications Messages and Materials Testing Focused on Antimicrobial Resistance Among the U.S. General Population Pilot Data Collection Project Form and Instruction	Unchanged
261060	[NIOSH] Formative Assessment of the Information Needs to Prevent Skin Cancer Among Spanish speaking Outdoor Workers Form and Instruction	Unchanged
261054	[NIOSH] Increasing the Impact of NIOSH Heat Stress Products in Outdoor Worker Populations Form and Instruction	Unchanged
260016	[NCCDPHP] Formative Evaluation, Implementation and Rapid Evaluation (FIRE) of Diabetes Self-Management in Disproportionately Affected Populations (DAPs) Provider Listening Sessions (Phase I) Form and Instruction	Unchanged
259194	Formative Research for Spanish-Language Drug Overdose Messages Form and Instruction	Unchanged
259152	[CPR] Evaluation on Acceptability and Effectiveness of Pilot Project This is a Tabletop Exercise Simulation Tool (T.E.S.T.) Form and Instruction	Unchanged
259053	[NCEZID] Food Safety Communication Evaluation: Assessing Food Safety Messages, Knowledge, and Attitudes Form and Instruction	Unchanged