Information Collection Request
[NCEZID] Assessment for the Get Ahead of Sepsis Consumer and Healthcare Professional Campaign
ICR 202211-0920-001 · OMB 0920-1384 · Received in OIRA
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0920-1384 can be found here:
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Form 0920-XXXX GAOS HCP Post-Campaign Web Survey - HCPs |
Form and Instruction | New | Repair queued |
| Form 0920-XXXX GAOS HCP Pre-Campaign Web Survey - HCPs |
Form and Instruction | New | Repair queued |
| Form 0920-XXXX GAOS Consumer Post-Campaign Web Survey - Consumers |
Form and Instruction | New | Repair queued |
| Form 0920-XXXX GAOS Consumer Pre-Campaign Web Survey - Consumers |
Form and Instruction | New | Repair queued |
 Attachment J_GAOS Reminder email.docx |
Supplementary Document | Uploaded 2022-11-22 | Repair queued |
| Attachment I_GAOS Informed consent form.docx |
Supplementary Document | Uploaded 2022-11-22 | Repair queued |
| Attachment H_GAOS Recruitment Invitation.docx |
Supplementary Document | Uploaded 2022-11-22 | Repair queued |
 Attachment G2_011620NG-NR-signed.pdf |
Supplementary Document | Uploaded 2022-11-22 | Missing upstream |
| Attachment B1_ GAOS 60-Day FRN Comments Responses.pdf |
Supplementary Document | Uploaded 2022-11-22 | Repair queued |
| Attachment B3_CDC-2022-0011 (GAOS) Public Comment.pdf |
Supplementary Document | Uploaded 2022-11-22 | Repair queued |
| Attachment B2_CDC Federal Register Comment.pdf |
Supplementary Document | Uploaded 2022-11-22 | Repair queued |
| Attachment A Authorization Legislation.docx |
Supplementary Document | Uploaded 2022-11-22 | Repair queued |
| SSB_11.08.22.docx |
Supporting Statement B | Uploaded 2022-11-22 | Repair queued |
| SSA_11.21.22.docx |
Supporting Statement A | Uploaded 2022-11-22 | Missing upstream |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 257061 |  GAOS HCP Post-Campaign Web Survey - HCPs |
Form and Instruction | New | |
| 257060 | GAOS HCP Pre-Campaign Web Survey - HCPs |
Form and Instruction | New | |
| 257058 | GAOS Consumer Post-Campaign Web Survey - Consumers |
Form and Instruction | New | |
| 257057 | GAOS Consumer Pre-Campaign Web Survey - Consumers |
Form and Instruction | New |
ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | HHS/CDC |
| OMB Control No | 0920-1384 |
| Type of Information Collection | New collection (Request for a new OMB Control Number) |
| Agency Tracking No | 0920-22CB |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |