Formative Research to Develop an Open Data Standard for Reporting Environmental Health Data

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⚠️ Notice: This information collection may be referencing outdated material.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
Form 0920-1154 Formative Research to Develop an Open Data Standard for Reporting Environmental Health Data Form and Instruction
0920-1154 Key Informant Interview Plan Att1_KeyInformantInterviewPlan.docx Form and Instruction
Att2_KeyInformantInterviewRequestLetter.docx Request Letter IC Document
Att3_KeyInformantInterviewReminderLetter.docx Reminder Letter IC Document
Att4_RDF.pdf Research Determination IC Document
GenICRequest_OpenDataGenIC.docx GenIC Request Template IC Document
SSB_OpenDataGenIC.docx SSB IC Document
SSA_OpenDateGenIC_053019_clean.docx SSA IC Document

Information Collection (IC) Details

IC Title:	Formative Research to Develop an Open Data Standard for Reporting Environmental Health Data	Agency IC Tracking Number:	0920-1154-19BCT

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
Form and Instruction	0920-1154	Key Informant Interview Plan	Att1_KeyInformantInterviewPlan.docx		No		Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 43	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	43	43
Annual IC Time Burden (Hours)	43	43
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Request Letter	Att2_KeyInformantInterviewRequestLetter.docx	05/30/2019
Reminder Letter	Att3_KeyInformantInterviewReminderLetter.docx	05/30/2019
Research Determination	Att4_RDF.pdf	05/30/2019
GenIC Request Template	GenICRequest_OpenDataGenIC.docx	05/30/2019
SSB	SSB_OpenDataGenIC.docx	05/30/2019
SSA	SSA_OpenDateGenIC_053019_clean.docx	05/30/2019

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