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[NCZEID] Formative Communications Assessment on Antimicrobial Resistance
[OS] CDC/ATSDR Formative Research and Tool Development
OMB: 0920-1154
IC ID: 265912
OMB.report
HHS/CDC
OMB 0920-1154
ICR 202506-0920-010
IC 265912
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1154 can be found here:
2025-07-03 - No material or nonsubstantive change to a currently approved collection
2025-07-01 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
Form 0920-24DM
[NCZEID] Formative Communications Assessment on Antimicrobial Resistance
Form
0920-24DM Focus Group Screener
Attachment 1 - Screener - Provider FGs_2.20.24_V4.docx
Form
0920-24DM Focus Group Guide for HCPs about Antimicrobial Resistanc
Attachment 6 - Focus Group Guide - Providers_2.12.24_V3.docx
Form
0920-24DM Interview Guide for Medical Association about Antimicrob
Attachment 9 - Interview Guide - Medical Assn Experts_2.12.24_V3.docx
Form
0920-24DM Focus Group Screener for Consumers, Including Parents, a
Attachment 2 - Screener - Consumer FGs_2.20.24_V4.docx
Form
0920-24DM Focus Group Guide for General Consumers about Antimicrob
Attachment 7 - Focus Group Guide - General Consumers_2.12.24_V3.docx
Form
0920-24DM Focus Group Guide for Caregivers about Antimicrobial Res
Attachment 8 - Focus Group Guide - Consumer Caregivers_2.12.24_V3.docx
Form
0920-24DM In-Depth Interview Screener for Consumers with Previous
Attachment 3 - Screener - Consumer with Past Infection IDIs_2.20.24_V4.docx
Form
0920-24DM Interview Guide for Consumers with Past Antimicrobial Re
Attachment 10 - Interview Guide - Consumers with Past Infection_2.12.24_V3.docx
Form
0920-24DM Survey on Antimicrobial Resistance Among National Policy
Attachment 11 - Survey - Policy Audience_2.20.24_V4.docx
Form
WS-CDC ARX_Formative Research_OMB Supporting Statement A 3_7.24_V5.docx
SSA
IC Document
WS-CDC ARX_Formative Research_OMB Supporting Statement B_2.12.24_V3.docx
SSB
IC Document
Attachment 12- Human Subjects Determination.pdf
Human Subjects Determination
IC Document
WS-CDC ARX_OMB GenIC Request_3.7.24_V3.docx
GenIC Request
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
[NCZEID] Formative Communications Assessment on Antimicrobial Resistance
Agency IC Tracking Number:
0920-1154-24DM
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
0920-24DM
Focus Group Screener
Attachment 1 - Screener - Provider FGs_2.20.24_V4.docx
Yes
Yes
Fillable Fileable
Form
0920-24DM
Focus Group Guide for HCPs about Antimicrobial Resistance
Attachment 6 - Focus Group Guide - Providers_2.12.24_V3.docx
Yes
Yes
Fillable Fileable
Form
0920-24DM
Interview Guide for Medical Association about Antimicrobial Resistance
Attachment 9 - Interview Guide - Medical Assn Experts_2.12.24_V3.docx
Yes
Yes
Fillable Fileable
Form
0920-24DM
Focus Group Screener for Consumers, Including Parents, and Caregivers
Attachment 2 - Screener - Consumer FGs_2.20.24_V4.docx
Yes
Yes
Fillable Fileable
Form
0920-24DM
Focus Group Guide for General Consumers about Antimicrobial Resistance
Attachment 7 - Focus Group Guide - General Consumers_2.12.24_V3.docx
Yes
Yes
Fillable Fileable
Form
0920-24DM
Focus Group Guide for Caregivers about Antimicrobial Resistance
Attachment 8 - Focus Group Guide - Consumer Caregivers_2.12.24_V3.docx
Yes
Yes
Fillable Fileable
Form
0920-24DM
In-Depth Interview Screener for Consumers with Previous Antimicrobial-Resistant Infections
Attachment 3 - Screener - Consumer with Past Infection IDIs_2.20.24_V4.docx
Yes
Yes
Fillable Fileable
Form
0920-24DM
Interview Guide for Consumers with Past Antimicrobial Resistant Infections on Antimicrobial Resistance
Attachment 10 - Interview Guide - Consumers with Past Infection_2.12.24_V3.docx
Yes
Yes
Fillable Fileable
Form
0920-24DM
Survey on Antimicrobial Resistance Among National Policy Audiences
Attachment 11 - Survey - Policy Audience_2.20.24_V4.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Workforce Management
Subfunction:
Training and Employment
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
1,040
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
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
1,040
0
0
0
0
1,040
Annual IC Time Burden (Hours)
201
0
0
0
0
201
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
SSA
WS-CDC ARX_Formative Research_OMB Supporting Statement A 3_7.24_V5.docx
03/12/2024
SSB
WS-CDC ARX_Formative Research_OMB Supporting Statement B_2.12.24_V3.docx
03/12/2024
Human Subjects Determination
Attachment 12- Human Subjects Determination.pdf
03/12/2024
GenIC Request
WS-CDC ARX_OMB GenIC Request_3.7.24_V3.docx
03/12/2024
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.