[NCEZID] Focus Groups with Healthcare Providers on Endemic Mycoses

[OS] CDC/ATSDR Formative Research and Tool Development

OMB: 0920-1154

IC ID: 264149

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
IC Document
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

[NCEZID] Focus Groups with Healthcare Providers on Endemic Mycoses 0920-1154-24BW
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction n/a Focus Group Screener Attachment 1_WS-CDC DFWED_Focus Group Screener_Endemic Mycoses_1.3.24_FINAL.docx Yes No Fillable Fileable
Form and Instruction n/a Focus Group Consent Form Attachment 2_WS-CDC DFWED_Focus Group Consent Form_Endemic Mycoses_12.21.23_FINAL.docx Yes Yes Fillable Fileable
Form and Instruction n/a Focus Group Guide Attachment 3_WS-CDC DFWED_Focus Group Guide_Endemic Mycoses_12.21.23_FINAL.docx Yes Yes Fillable Fileable

Health Illness Prevention

 

528 0
   
Individuals or Households
 
   10 %

  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 528 0 0 0 0 528
Annual IC Time Burden (Hours) 112 0 0 0 0 112
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
SSA WS-CDC DFWED_OMB Supporting Statement A_Endemic Mycoses_12.21.23_FINAL_final.docx 01/10/2024
SSB WS-CDC DFWED_OMB Supporting Statement B_Endemic Mycoses_12.8.23_FINAL.docx 01/10/2024
Research Determination Attachment 4-Human Subjects Determination.pdf 01/10/2024
GenIC Request Template WS-CDC DFWED_OMB GenIC Request_Endemic Mycoses_12.21.23_FINAL.docx 01/10/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
© 2025 OMB.report | Privacy Policy