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[NCEH] Evaluating Content and Usability of CDC's Clinical Heat Guidance
[OS] CDC/ATSDR Formative Research and Tool Development
OMB: 0920-1154
IC ID: 273021
OMB.report
HHS/CDC
OMB 0920-1154
ICR 202506-0920-010
IC 273021
( )
⚠️ Notice: This information collection may be referencing outdated material.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 0920-1154
[NCEH] Evaluating Content and Usability of CDC's Clinical Heat Guidance
Form and Instruction
0920-1154 Physician - Survey for Community Health Center Physician
Attachment 1. CDC Clinical Heat Guidance Survey Instrument.docx
Form and Instruction
0920-1154 Non-Physician - Survey for Community Health Center Physi
Attachment 1. CDC Clinical Heat Guidance Survey Instrument.docx
Form and Instruction
0920-1154 Physician - Survey for Community Health Center Physician
Attachment 12. CDC Heat Guidance Survey Instrument_Spanish.docx
Form and Instruction
0920-1154 Non-Physician - Survey for Community Health Center Physi
Attachment 12. CDC Heat Guidance Survey Instrument_Spanish.docx
Form and Instruction
Attachement 3. Example of Programmed Survey.PNG
Program Survey - Sample
IC Document
Attachment 2. Programmed CDC-Heat_Guidance Survey Flow.docx
Program Survey - Sample Work Flow
IC Document
Attachment 7. Recruitment Flyer.png
Recruitment Flyer
IC Document
Attachments 4-6 - Recruitment, Reminder and Final Reminder Emails.docx
Recruitment, Reminder and Final Reminder Emails
IC Document
Attachment 9. Project determination.pdf
Project Determination
IC Document
SSA - for CDC Clinical Heat Guidance Eval 12.13.24.docx
Supporting Statement A
IC Document
SSB - for CDC Clinical Heat Guidance Eval - GenIC 1154 -11.18.24.docx
Supporting Statement B
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
[NCEH] Evaluating Content and Usability of CDC's Clinical Heat Guidance
Agency IC Tracking Number:
0920-1154-25CD
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
Physician - Survey for Community Health Center Physicians and Non-Physicians on CDC’s Clinician Heat Guidance
Attachment 1. CDC Clinical Heat Guidance Survey Instrument.docx
N/A
Yes
Yes
Fillable Fileable
Form and Instruction
0920-1154
Non-Physician - Survey for Community Health Center Physicians and Non-Physicians on CDC’s Clinician Heat Guidance
Attachment 1. CDC Clinical Heat Guidance Survey Instrument.docx
N/A
Yes
Yes
Fillable Fileable
Form and Instruction
0920-1154
Physician - Survey for Community Health Center Physicians and Non-Physicians on CDC’s Clinician Heat Guidance_Spanish
Attachment 12. CDC Heat Guidance Survey Instrument_Spanish.docx
N/A
Yes
Yes
Fillable Fileable
Form and Instruction
0920-1154
Non-Physician - Survey for Community Health Center Physicians and Non-Physicians on CDC’s Clinician Heat Guidance_Spanish
Attachment 12. CDC Heat Guidance Survey Instrument_Spanish.docx
N/A
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Public Health Monitoring
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
1,000
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Not-for-profit institutions, Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
100 %
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
1,000
0
0
0
0
1,000
Annual IC Time Burden (Hours)
250
0
0
0
0
250
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Program Survey - Sample
Attachement 3. Example of Programmed Survey.PNG
12/13/2024
Program Survey - Sample Work Flow
Attachment 2. Programmed CDC-Heat_Guidance Survey Flow.docx
12/13/2024
Recruitment Flyer
Attachment 7. Recruitment Flyer.png
12/13/2024
Recruitment, Reminder and Final Reminder Emails
Attachments 4-6 - Recruitment, Reminder and Final Reminder Emails.docx
12/13/2024
Project Determination
Attachment 9. Project determination.pdf
12/13/2024
Supporting Statement A
SSA - for CDC Clinical Heat Guidance Eval 12.13.24.docx
12/13/2024
Supporting Statement B
SSB - for CDC Clinical Heat Guidance Eval - GenIC 1154 -11.18.24.docx
12/13/2024
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.