Information Collection

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

IC 208834 under ICR 201110-0920-004 · OMB 0920-0879.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Attachment F: Assessing Satisfaction and Utility of OSTLTS Communication Products for Health Department Staff-Word Version Assessing Satisfaction and Utility of OSTLTS Communication Products for Health Department Staff	Form and Instruction
Attachment G--Assessing Satisfaction and Utility of OSTLTS Communication Products for Health Department Staff--Web-version 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

View Information Collection (IC)

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:

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	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

Federal Enterprise Architecture Business Reference Module

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 %

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	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

table that charts IC Documents
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.