Information Collection

Main Survey

IC 202023 under ICR 201204-0990-002 · OMB 0990-0398.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0990-0398 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
0990- ONC-ConsumerSurvey.docx	Other-survey
HHS ONC ConsumerPrivacySurveyFinal5.2.docx	Other-Consumer Privacy Survey
ONCConsumerPrivacySurveyFinal05-02-2012.docx	Other-Consumer Privacy Survey
ONCConsumerPrivacySurveyFinalSpanish.docx	Other-Consumer Privacy Survey Final
0990-ONCConsumerPrivacySurvey Questionnaire Final6 19.docx	Other-Questionnaire
0990-ONCcunsumerBriefing Slides Cognitive Interviews_022912.pptx	Other-Briefing

IC Title:

Main Survey

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Questionnaire	0990-ONCConsumerPrivacySurvey Questionnaire Final6 19.docx	Yes	Yes	Printable Only
Other-Briefing	0990-ONCcunsumerBriefing Slides Cognitive Interviews_022912.pptx	Yes	Yes	Printable Only
Other-survey	0990- ONC-ConsumerSurvey.docx	Yes	Yes	Printable Only
Other-Consumer Privacy Survey	HHS ONC ConsumerPrivacySurveyFinal5.2.docx	Yes	Yes	Printable Only
Other-Consumer Privacy Survey Final Spanish	ONCConsumerPrivacySurveyFinalSpanish.docx	Yes	Yes	Printable Only
Other-Consumer Privacy Survey	ONCConsumerPrivacySurveyFinal05-02-2012.docx	Yes	Yes	Printable Only

Line of Business: Health

Subfunction: Immunization Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 2,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	2,000	2,000
Annual IC Time Burden (Hours)	500	500
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.