Information Collection

Usability Study of Medscape's Technology-based Panel

IC 198960 under ICR 200910-0920-004 · OMB 0920-0840.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0840 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Usability Study of Medscape's Technology-based Panel	Form
Screener Attach2 PIC_HSSC Medscape Screener 3-4-11.docx	Form
Questionnaire Attach1 PIC_HSSC Medscape Questionnaire 2-25-11.docx	Form
Attach3_Informed Consent 3-25-11.docx Consent	IC Document
Attach4_Medscape email notification 3-4-11.doc Email notification	IC Document
Medscape Usability IRB Approval Notice.pdf IRB Approval	IC Document
SS Part A_PIC_HSSC Medscape 3-28-11FINAL.docx Supporting Statement	IC Document
WebMD RTI-CDC Screenshots.docx Screenshots	IC Document

IC Title:

Usability Study of Medscape's Technology-based Panel

Agency IC Tracking Number:

IC Status: New

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	none	Screener	Attach2 PIC_HSSC Medscape Screener 3-4-11.docx		Yes	Yes	Fillable Fileable
Form	none	Questionnaire	Attach1 PIC_HSSC Medscape Questionnaire 2-25-11.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 16,800

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	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	16,800	0	0	0	0	0
Annual IC Time Burden (Hours)	934	0	0	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Consent	Attach3_Informed Consent 3-25-11.docx	08/17/2011
Email notification	Attach4_Medscape email notification 3-4-11.doc	08/17/2011
IRB Approval	Medscape Usability IRB Approval Notice.pdf	08/17/2011
Supporting Statement	SS Part A_PIC_HSSC Medscape 3-28-11FINAL.docx	08/17/2011
Screenshots	WebMD RTI-CDC Screenshots.docx	08/17/2011

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