In-Depth Interviews with Healthcare Professionals about C. Diff Materials

[OS] 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⚠️ Notice: This information collection may be referencing outdated material.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 0920-1154-24ES In-Depth Interviews with Healthcare Professionals about C. Diff Materials Form and Instruction
0920-1154-24ES Antimicrobial Resistance Communications and Media Suppor Attachment 1_CDC DHQP_Cdiff_IDI Screener_HCPs_4.12.24_Final.docx Form and Instruction
0920-1154-24ES Antimicrobial Resistance Communications and Media Suppor Attachment 3_CDC DHQP_Cdiff_IDI Guide_HCPs_3.18.24_Final.docx Form and Instruction
Attachment 2_CDC DHQP_CDIFF IDI Consent Form_HCPs_3.18.24_Final.docx Consent Form IC Document
Attachment 4_Human Subjects Determination.pdf Project Determination (24ES) IC Document
CDC DHQP_CDIFF IDIs OMB Supporting Statement A_4.12.24_Final.docx SSA IC Document
CDC DHQP_CDIFF IDIs OMB Supporting Statement B_4.12.24_Final.docx SSB IC Document
CDC DHQP_CDIFF IDI Gen IC Request Form_HCPs_4.12.24_Final.docx Request for Approval under the “Generic Clearance for the Collection of Routine Customer Feedback” (OMB Control Number: 0920-105 IC Document

Information Collection (IC) Details

IC Title:	In-Depth Interviews with Healthcare Professionals about C. Diff Materials	Agency IC Tracking Number:	0920-1154-24ES

IC Status: Unchanged

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	0920-1154-24ES	Antimicrobial Resistance Communications and Media Support Services	Attachment 1_CDC DHQP_Cdiff_IDI Screener_HCPs_4.12.24_Final.docx		Yes	Yes	Fillable Fileable
Form and Instruction	0920-1154-24ES	Antimicrobial Resistance Communications and Media Support Services_Guide HCPs (24ES)	Attachment 3_CDC DHQP_Cdiff_IDI Guide_HCPs_3.18.24_Final.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 121	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Previously Approved
Annual Number of Responses for this IC	121	121
Annual IC Time Burden (Hours)	22	22
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Consent Form	Attachment 2_CDC DHQP_CDIFF IDI Consent Form_HCPs_3.18.24_Final.docx	04/16/2024
Project Determination (24ES)	Attachment 4_Human Subjects Determination.pdf	04/16/2024
SSA	CDC DHQP_CDIFF IDIs OMB Supporting Statement A_4.12.24_Final.docx	04/17/2024
SSB	CDC DHQP_CDIFF IDIs OMB Supporting Statement B_4.12.24_Final.docx	04/17/2024
Request for Approval under the “Generic Clearance for the Collection of Routine Customer Feedback” (OMB Control Number: 0920-1050)	CDC DHQP_CDIFF IDI Gen IC Request Form_HCPs_4.12.24_Final.docx	04/17/2024

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