Information Collection Request

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (NCHHSTP)

ICR 201407-0920-003 · OMB 0920-1027 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
TB Laboratory Site Visit Evaluation Six-Month Follow-Up-Online Survey Form New Repair queued
US Public Health Service (USPHS) Medical Officer Healthcare Access Survey Form and Instruction New Repair queued
Customer Satisfaction Assessment of CDC TB Lab Site Visits Form New Available
TB DST Reference Center for MTBC Assessment – Online Survey Form and Instruction New Repair queued
Study to Inform HIV Screening and PrEP Resources for Health Care Providers Form and Instruction New Available
National Center for HIV/AIDS, Viral Hepatitis, STD and TB Prevention (NCHHSTP) Usability Study Form and Instruction New Repair queued
User Insights for NCHHSTP Atlas Website and Tool Review- Interviews Form and Instruction New Repair queued
Baseline Usability Testing for DHAP's Act Against AIDS Website- Online Survey Form and Instruction New Repair queued
MSM AYA Stakeholder Analysis Survey Form and Instruction New Repair queued
Form N one Focus Groups for Exploratory Research and Message Pre-Testing Among Foreign-Born Asian Americans Form and Instruction New Repair queued
Provider Feedback for Chlamydia Prevention and Control Online Resources Form and Instruction New Repair queued
CDC Division of STD Prevention Twitter Evaluation Form New Repair queued
Generic Clearance for Qualitative Feedback Template Approval Form.docx Supplementary Document Uploaded 2014-07-03 Available
Supporting_Statement_B-NCHHSTP FastTrack .docx Supporting Statement B Uploaded 2014-07-03 Repair queued
Supporting_Statement_A-NCHHSTP FastTrack.docx Supporting Statement A Uploaded 2014-07-03 Available
IC Document Collections
IC IDCollectionTypeStatusForm
226173 TB Laboratory Site Visit Evaluation Six-Month Follow-Up-Online Survey Form New
225702 US Public Health Service (USPHS) Medical Officer Healthcare Access Survey Form and Instruction New
225689 Customer Satisfaction Assessment of CDC TB Lab Site Visits Form New
224646 TB DST Reference Center for MTBC Assessment – Online Survey Form and Instruction New
221086 Study to Inform HIV Screening and PrEP Resources for Health Care Providers Form and Instruction New
220867 National Center for HIV/AIDS, Viral Hepatitis, STD and TB Prevention (NCHHSTP) Usability Study Form and Instruction New
220844 Take Charge of Your Sexual Health: What you need to know about preventive services: Pre-Testing Hispanic Community Other-WORD New
219568 User Insights for NCHHSTP Atlas Website and Tool Review _Online Survey Other-Screenshots New
219430 User Insights for NCHHSTP Atlas Website and Tool Review- Interviews Form and Instruction New
218898 Baseline Usability Testing for DHAP's Act Against AIDS Website- Online Survey Form and Instruction New
217781 Post-Launch Usability Testing for the CDC HIV Website Redesign (On-line) Other-WORD New
217631 MSM AYA Stakeholder Analysis Survey Form and Instruction New
216077 Research and Message Pre-testing among Baby Boomers - Hepatitis C Instruction New
215629 Focus Groups for Exploratory Research and Message Pre-Testing Among Foreign-Born Asian Americans Form and Instruction New
215178 Telephone Interviews to Screen Potential Focus Group Participants for Exploratory Research and Message Pre-Testing Among Foreign-Born Asian Americans Instruction New
214752 Provider Feedback for Chlamydia Prevention and Control Online Resources Form and Instruction New
212811 CDC Division of STD Prevention Twitter Evaluation Form New
ICR Details
0920-1027 201407-0920-003
Historical Active
HHS/CDC 14AMW
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (NCHHSTP)
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 08/05/2014
Retrieve Notice of Action (NOA) 07/14/2014
OMB approves this collection for a period of three years. To request approval of information collections under this generic approval, the agency must do the following: 1) Unless an agency is using multiple modes of collection (e.g., paper forms and electronic submissions), provide a Generic Clearance Submission Template for each Instrument; 2) If the agency is using multiple modes of collection (e.g., paper forms and electronic submissions), the same Generic Clearance Submission Template may be used for both instruments; 3) each Generic Clearance Submission Template must be uploaded as a Supplementary document using a naming convention that allows the public to identify the associated instrument; 4) submit no more than five Generic Submission Templates with each request.
  Inventory as of this Action Requested Previously Approved
08/31/2017 36 Months From Approved
56,850 0 0
37,200 0 0
0 0 0

This collection of information is necessary to enable the Agency to garner customer and stakeholder feedback in an efficient, timely manner, in accordance with our commitment to improving service delivery. The information collected from our customers and stakeholders will help ensure that users have an effective, efficient, and satisfying experience with the Agency's programs.

EO: EO 12862 Name/Subject of EO: Setting Customer Service Standards
  
None

Not associated with rulemaking

  79 FR 24432 04/30/2014
79 FR 39402 07/10/2014
No

17
IC Title Form No. Form Name
Post-Launch Usability Testing for the CDC HIV Website Redesign (On-line)
Focus Groups for Exploratory Research and Message Pre-Testing Among Foreign-Born Asian Americans N one Focus Groups for Exploratory Research and Message Pre-Testing Among Foreign-Born Asian Americans
US Public Health Service (USPHS) Medical Officer Healthcare Access Survey NA US PHS PPAC Survey on Access to Health Care
Take Charge of Your Sexual Health: What you need to know about preventive services: Pre-Testing Hispanic Community
User Insights for NCHHSTP Atlas Website and Tool Review _Online Survey
TB DST Reference Center for MTBC Assessment – Online Survey NA National PHL DST Reference Center for MTBC Survey
MSM AYA Stakeholder Analysis Survey NA, NA Stakeholder Analysis MSM Online Survey ,   Stakeholder Analysis Adolescent Online Survey
Telephone Interviews to Screen Potential Focus Group Participants for Exploratory Research and Message Pre-Testing Among Foreign-Born Asian Americans
User Insights for NCHHSTP Atlas Website and Tool Review- Interviews NA Facilitator Script Interview
Study to Inform HIV Screening and PrEP Resources for Health Care Providers none, none Consent and Interview Guide ,   Sscreener
Research and Message Pre-testing among Baby Boomers - Hepatitis C none Screener
National Center for HIV/AIDS, Viral Hepatitis, STD and TB Prevention (NCHHSTP) Usability Study NA National Center for HIV/AIDS, Viral Hepatitis, STD and TB Prevention (NCHHSTP) Usability Study
TB Laboratory Site Visit Evaluation Six-Month Follow-Up-Online Survey N/A, N/A Appendix 1_Survey Questions_Site Visit Evaluation_ Six month Follow-up ,   Appendix 2_Web Shots_Survey Questions_Site Visit Evaluation_Six Month Follow-up
Provider Feedback for Chlamydia Prevention and Control Online Resources none, none Recruitment screener ,   Moderator's guide
Customer Satisfaction Assessment of CDC TB Lab Site Visits none, none TB Lab Site Visit Assessment ,   TB Labs Site Visit Assessment
CDC Division of STD Prevention Twitter Evaluation None Division of STD Prevention Twitter Survey
Baseline Usability Testing for DHAP's Act Against AIDS Website- Online Survey NA, NA Act Against AIDS In-Person Survey ,   Act Against AIDS Online Survey (Screenshots)

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 56,850 0 0 56,850 0 0
Annual Time Burden (Hours) 37,200 0 0 37,200 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This is a new ICR.

$370,500
No
No
No
No
No
Uncollected
Shari Steinberg 404 639-4942 [email protected]

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
07/14/2014