Information Collection Request

Voluntary Product Satisfaction and Usability Assessment

ICR 201004-0920-004 · OMB 0920-0847 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Justification For Change Submitted 03 10 10.docx Justification for No Material/Nonsubstantive Change Uploaded 2010-04-12 Available
Attachment 8. IRB.pdf Supplementary Document Uploaded 2010-01-06 Available
Attachment 7 Federal Register Notice 2008.pdf Supplementary Document Uploaded 2010-01-06 Available
Attachment 3 Question Bank Final.doc Supplementary Document Uploaded 2010-01-06 Available
Attachment 2 Title 42 Section 241 USC PHSA Sec 301.pdf Supplementary Document Uploaded 2010-01-06 Available
Attachment 1 Executive Order 12862.pdf Supplementary Document Uploaded 2010-01-06 Available
0920-0847_Supporting Statement Part A 03 10 10 Submitted.docx Supporting Statement A Uploaded 2010-04-12 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
191931 Child Maltreatment Surveillance (E-mail Assessment) Other-Word Removed
191930 Child Maltreatment Surveillance (Sample Web-based Assessment Other-Word Removed
191929 Response Card Other-word Removed

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
02/28/2013 02/28/2013 02/28/2013
542,000 0 542,000
90,333 0 90,333
0 0 0






table that charts list of burden
  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 542,000 542,000 0 0 0 0
Annual Time Burden (Hours) 90,333 90,333 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No