[CPR] Pilots Evaluation of Interventions for Building Resilience for State and Local Health Department Staff Responding to Public Health Emergencies

[OS] CDC/ATSDR Formative Research and Tool Development

OMB: 0920-1154

IC ID: 267344

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[CPR] Pilots Evaluation of Interventions for Building Resilience for State and Local Health Department Staff Responding to Public Health Emergencies 0920-25-0031
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form n/a Pilot Evaluation Pre-Implementation Survey AttA-SurveyPrePost_cleanv2.docx Yes Yes Fillable Fileable
Form n/a Pilot Evaluation POST-Implementation Survey AttA-SurveyPrePost_cleanv2.docx Yes Yes Fillable Fileable
Form n/a Staff Focus Groups AttC-FocusGroup-Sta - clean.docx Yes Yes Fillable Fileable
Form n/a Leader Focus Groups AttB-FocusGroup-lea - clean.docx Yes Yes Fillable Fileable

Health Consumer Health and Safety

 

1,084 0
   
Individuals or Households
 
   0 %

  Requested Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 1,084 0 0 0 0 1,084
Annual IC Time Burden (Hours) 334 0 0 0 0 334
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
GenIC Request ORR-0920-1154-GenIRequestTemplate-BuildingResilience.docx 04/30/2024
SSA ORR-SSA-1154-BuildingResilience (1).docx 04/30/2024
SSB ORR-SSB-1154-BuildingResilience.docx 04/30/2024
Change Request Justification Change Request Memo - EO14168 Template- GenIC-0920-1154 - ORR .docx 06/17/2025
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