Document Name Document Type
Form 0920-25BP [NCZEID] Focus Groups with Consumers on Oropouche Form
0920-25BP Focus Group Screener Attachment 1 - CDC DVBD - Task 6 Oropouche - Focus Group Screener 10.28.24.docx Form
0920-25BP Focus Group Discussion Guide Attachment 3 - CDC DVBD - Task 6 Oropouche - Focus Group Discussion Guide 10.28.24.docx Form
Attachment 2 - CDC DVBD - Task 6 Oropouche - Focus Group Consent Form 10.28.24.docx Focus Group Consent Form IC Document
Attachment 4a - CDC DVBD - Task 6 Oropouche - Draft Message Stimuli 10.28.24.pdf Draft Message Stimuli 1 IC Document
Attachment 4b - CDC DVBD - Task 6 Oropouche - Draft Message Stimuli 10.28.24.pdf Draft Message Stimuli 2 IC Document
Attachment 4c- CDC DVBD - Task 6 Oropouche - Draft Message Stimuli 10.28.24.png Draft Message Stimuli 3 IC Document
Attachment 5- Human Subjects Determination.pdf Human Subjects Determination IC Document
GenIC Request Template.docx GenIC Request IC Document
Supporting Statement A - CDC DVBD - Oropouche Data Collection - 10.28.2024 (002).docx SSA IC Document
Supporting Statement B - CDC DVBD - Oropouche Data Collection - 10.28.24.docx SSB IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	[NCZEID] Focus Groups with Consumers on Oropouche	Agency IC Tracking Number:	0920-25BP

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	0920-25BP	Focus Group Screener	Attachment 1 - CDC DVBD - Task 6 Oropouche - Focus Group Screener 10.28.24.docx		Yes	Yes	Fillable Fileable
Form	0920-25BP	Focus Group Discussion Guide	Attachment 3 - CDC DVBD - Task 6 Oropouche - Focus Group Discussion Guide 10.28.24.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 264	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Previously Approved
Annual Number of Responses for this IC	264	264
Annual IC Time Burden (Hours)	56	56
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Focus Group Consent Form	Attachment 2 - CDC DVBD - Task 6 Oropouche - Focus Group Consent Form 10.28.24.docx	11/29/2024
Draft Message Stimuli 1	Attachment 4a - CDC DVBD - Task 6 Oropouche - Draft Message Stimuli 10.28.24.pdf	11/29/2024
Draft Message Stimuli 2	Attachment 4b - CDC DVBD - Task 6 Oropouche - Draft Message Stimuli 10.28.24.pdf	11/29/2024
Draft Message Stimuli 3	Attachment 4c- CDC DVBD - Task 6 Oropouche - Draft Message Stimuli 10.28.24.png	11/29/2024
Human Subjects Determination	Attachment 5- Human Subjects Determination.pdf	11/29/2024
GenIC Request	GenIC Request Template.docx	11/29/2024
SSA	Supporting Statement A - CDC DVBD - Oropouche Data Collection - 10.28.2024 (002).docx	11/29/2024
SSB	Supporting Statement B - CDC DVBD - Oropouche Data Collection - 10.28.24.docx	11/29/2024

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

[NCZEID] Focus Groups with Consumers on Oropouche