Clinician Preferences for CDC Clinical Guidelines

CDC/ATSDR Formative Research and Tool Development

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1154 can be found here:

Documents and Forms

Document Name Document Type
Attachment 1_Clinical Guidance Interview Guide.docx Other-WORD
Attachment 2_Clinician Guidelines Interview Screening Instrument.docx Other-WORD
Attachment 3_Non-research Determination.pdf Att 3_Non-Research Determination IC Document
GenIC Request_Clinical Guidelines_Finalv2.docx Request for Approval IC Document
Supporting Statement A for Clinical Guidelines Interviews (0920-1154).docx Supporting Statement A IC Document
Supporting Statement B for Clinical Guidelines Interviews (0920-1154).docx Supporting Statement B IC Document

Information Collection (IC) Details

IC Title:	Clinician Preferences for CDC Clinical Guidelines	Agency IC Tracking Number:	0920-1154-19ET

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-WORD			Attachment 1_Clinical Guidance Interview Guide.docx		No		Fillable Fileable
Other-WORD			Attachment 2_Clinician Guidelines Interview Screening Instrument.docx		No		Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 25	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	25	25
Annual IC Time Burden (Hours)	25	25
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Att 3_Non-Research Determination	Attachment 3_Non-research Determination.pdf	11/29/2018
Request for Approval	GenIC Request_Clinical Guidelines_Finalv2.docx	11/29/2018
Supporting Statement A	Supporting Statement A for Clinical Guidelines Interviews (0920-1154).docx	11/29/2018
Supporting Statement B	Supporting Statement B for Clinical Guidelines Interviews (0920-1154).docx	11/29/2018

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.