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Federal forms, ICRs, and supporting documents

Information Collection

Knowledge, Attitudes, and Practices about Dengue and Chikungunya among Travel Consultants and Aid Agencies

IC 218556 under ICR 201503-0920-002 · OMB 0920-0932.

Documents and Forms
Document Name
Document Type
Form and Instruction
Instruction
Instruction
Instruction
Instruction
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)

Knowledge, Attitudes, and Practices about Dengue and Chikungunya among Travel Consultants and Aid Agencies 15BFS
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction NA Moderator’s Guide of Questions for Focus Groups with Sending Agencies - English Attachment C - Moderator’s Guide of Questions for Focus Groups with Sending Agencies - English.docx NA Yes Yes Fillable Fileable
Form and Instruction NA Moderator’s Guide of Questions for Focus Groups with Sending Agencies - Spanish Attachment C.1 - Moderator’s Guide of Questions for Focus Groups with Sending Agencie - Spanish.docx NA Yes Yes Fillable Fileable
Form and Instruction NA Moderator’s Guide for Focus Groups with Volunteers - English Attachment D – Moderator’s Guide for Focus Groups with Volunteers - English.docx NA Yes Yes Fillable Fileable
Form and Instruction NA Moderator’s Guide for Focus Groups with Volunteers - Spanish Attachment D.1 - Moderator’s Guide for Focus Groups with Volunteers - Spanish.docx NA Yes Yes Fillable Fileable
Instruction Attachment I – Instructions for the Participation in Focus Group Discussions - English.docx NA Yes Yes Fillable Fileable
Instruction Attachment I1 - Instructions for the Participation in Focus Group DiscussionsSpanish.docx NA Yes Yes Fillable Fileable
Instruction Attachment H Script for Telephone Calls to Screen and Recruit Participants - English.docx NA No   Fillable Fileable
Instruction Attachment H 1 - Script for Telephone Calls to Screen and Recruit Participants - Spanish.docx NA Yes Yes Fillable Fileable

Health Public Health Monitoring

 

360 0
   
Individuals or Households
 
   100 %

  Approved 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 360 0 360 0 0 0
Annual IC Time Burden (Hours) 54 0 54 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Verbal Consent for Participants of Focus Group regarding Travel Health Messages - English Attachment E – Verbal Consent for Participants of Focus Group regarding Travel Health Messages - English.docx 10/13/2015
Verbal Consent for Participants of Focus Group regarding Travel Health Messages - Spanish Attachment E.1 - Verbal Consent for Participants of Focus Group regarding Travel Health Messages - Spanish.docx 10/13/2015
Supporting Statement B Statement B - 0920-0932 Dengue and Chikungunya KAP_Travel Consultants and Aid Agencies.docx 10/30/2015
Supporting Statement A Statement A - 0920-0932 Dengue and Chikungunya KAP_Travel Consultants and Aid Agencies.docx 11/03/2015
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.