Assessing Satisfaction and Utility of OSTLTS Communication Products for Health Department Staff

Surveys of State, Tribal, Local and Territorial (STLT) Governmental Health Agencies

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0879 can be found here:

Documents and Forms

Document Name Document Type
Assessing Satisfaction and Utility of OSTLTS Communication Products for Health Department Staff Form and Instruction
Attachment F: Assessing Satisfaction and Utility of OSTL Attachment F - Instrument (Word Version).docx Form and Instruction
Attachment G--Assessing Satisfaction and Utility of OSTL Attachment G- Instrument (Web Version).docx Form and Instruction
Attachment A - Did You Know.docx Attachment A - Did You Know IC Document
Attachment B - Did You Know 2011 Results.pdf Attachment B - Did You Know 2011 Results IC Document
Attachment C - Have You Heard.docx Attachment C - Have You Heard IC Document
Attachment D - STLT Gateway.docx Attachment D - STLT Gateway IC Document
Attachment E - STLT Facebook.docx Attachment E - STLT Facebook IC Document
Attachment H - Notification Email.docx Attachment H - Notification Email IC Document
Attachment I - Reminder Email (Week 2).docx Attachment I - Reminder Email (Week 2) IC Document
Attachment J - Reminder Email (Week 3).docx Attachment J - Reminder Email (Week 3) IC Document
OSTLTS Products- Statement_A.docx OSTLTS Products- Statement_A IC Document
OSTLTS Products - Statement_B.docx OSTLTS Products - Statement_B IC Document

Information Collection (IC) Details

IC Title:	Assessing Satisfaction and Utility of OSTLTS Communication Products for Health Department Staff	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	None	Attachment F: Assessing Satisfaction and Utility of OSTLTS Communication Products for Health Department Staff-Word Version	Attachment F - Instrument (Word Version).docx		Yes	Yes	Fillable Fileable
Form and Instruction	None	Attachment G--Assessing Satisfaction and Utility of OSTLTS Communication Products for Health Department Staff--Web-version	Attachment G- Instrument (Web Version).docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Immunization Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 750	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 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	750	0	0	0	0	0
Annual IC Time Burden (Hours)	188	0	0	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
Attachment A - Did You Know	Attachment A - Did You Know.docx	09/24/2013
Attachment B - Did You Know 2011 Results	Attachment B - Did You Know 2011 Results.pdf	09/24/2013
Attachment C - Have You Heard	Attachment C - Have You Heard.docx	09/24/2013
Attachment D - STLT Gateway	Attachment D - STLT Gateway.docx	09/24/2013
Attachment E - STLT Facebook	Attachment E - STLT Facebook.docx	09/24/2013
Attachment H - Notification Email	Attachment H - Notification Email.docx	09/24/2013
Attachment I - Reminder Email (Week 2)	Attachment I - Reminder Email (Week 2).docx	09/24/2013
Attachment J - Reminder Email (Week 3)	Attachment J - Reminder Email (Week 3).docx	09/24/2013
OSTLTS Products- Statement_A	OSTLTS Products- Statement_A.docx	09/24/2013
OSTLTS Products - Statement_B	OSTLTS Products - Statement_B.docx	09/24/2013

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