OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Main Survey

IC 202023 under ICR 201208-0990-003 · OMB 0990-0398.

Documents and Forms
Document Name
Document Type
Other-survey
Other-Consumer Privacy Survey
Other-consumer Privacy Surevey Spani
Other-ONCConsumerPrivacySurvey Quest
Other-ConsumerBriefing Slides Cognit
Other-Survey form - English
Other-Survey form - Spanish
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Main Survey
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-survey 0990- ONC-ConsumerSurvey.docx Yes Yes Printable Only
Other-Consumer Privacy Survey ONCConsumerPrivacySurveyFinal05-02-2012.docx Yes Yes Printable Only
Other-consumer Privacy Surevey Spanish ONCConsumerPrivacySurveyFinalSpanish.docx Yes Yes Printable Only
Other-ONCConsumerPrivacySurvey Questionnaire Final6 19 0990-ONCConsumerPrivacySurvey Questionnaire Final6 19.docx Yes No Printable Only
Other-ConsumerBriefing Slides Cognitive Interviews_022912 0990-ONCcunsumerBriefing Slides Cognitive Interviews_022912.pptx Yes No Printable Only
Other-Survey form - English HHS ONC Questionnaire FinalMain_080112.docx Yes Yes Fillable Fileable
Other-Survey form - Spanish Spanish HHS ONC Questionnaire FinalMain_080112.docx Yes Yes Fillable Fileable

Health Immunization Management

 

2,000 0
   
Individuals or Households
 
   0 %

  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 2,000 0 0 0 0 2,000
Annual IC Time Burden (Hours) 500 0 0 0 0 500
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Survey script - English HHS ONC Survey Introduction and Consent Script_NORC 080112.docx 08/08/2012
Survey script - Spanish Spanish HHS ONC Survey Introduction and Consent Script_NORC 080112.docx 08/08/2012
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.