Information Collection

CDC Homepage UX

IC 209701 under ICR 201303-0920-011 · OMB 0920-0956.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0956 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
CDC Homepage UX	Form
Participant Scenario List E-Participant Scenario List - CDChomepageUX121613.docx	Form
fast-track-PRA-submission-short-form-cdc-CDChomepageUX121613.docx Request for Approval	IC Document
A-PROTOCOL-CDChomepageUX121013.docx A - Protocol	IC Document
B - Instructions -CDChomepageUX121613 - OMB.docx B - Instructions	IC Document
C-Consent Forms -CDChomepageUX121013 - OMB.docx C - Consent	IC Document
D-Scenarios -CDChomepageUX121613 - OMB.docx D - Scenarios	IC Document

IC Title:

CDC Homepage UX

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	none	Participant Scenario List	E-Participant Scenario List - CDChomepageUX121613.docx		No	No	Paper Only

Line of Business: Health

Subfunction: Immunization Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 24

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 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	24	0	0	0	0	0
Annual IC Time Burden (Hours)	24	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
Request for Approval	fast-track-PRA-submission-short-form-cdc-CDChomepageUX121613.docx	12/16/2013
A - Protocol	A-PROTOCOL-CDChomepageUX121013.docx	12/16/2013
B - Instructions	B - Instructions -CDChomepageUX121613 - OMB.docx	12/16/2013
C - Consent	C-Consent Forms -CDChomepageUX121013 - OMB.docx	12/16/2013
D - Scenarios	D-Scenarios -CDChomepageUX121613 - OMB.docx	12/16/2013

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