Information Collection

CDC Website Usability Evaluation - Screener only

IC 46419 under ICR 200812-0920-003 · OMB 0920-0735.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0735 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form no number CDC Website Usability Evaluation - Screener only	Form and Instruction
no number Screener Screener.doc	Form and Instruction

IC Title:

CDC Website Usability Evaluation - Screener only

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	no number	Screener	Screener.doc		Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 500

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	500	500
Annual IC Time Burden (Hours)	42	42
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.