CDC Homepage Mobile & Desktop Survey

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

Documents and Forms

Document Name Document Type
CDC Homepage Mobile & Desktop Survey Form
CDC Homepage Mobile and Desktop Surveys for cdc homepage mobile desktop.docx Form
CDC Homepage Mobile & Desktop Survey Survey Images for cdc homepage mobile desktop.pdf Form
fast-track-PRA-submission-short-form-cdc homepage mobile desktop.doc fast-track-PRA-submission-short-form-cdc homepage mobile desktop IC Document

Information Collection (IC) Details

IC Title:	CDC Homepage Mobile & Desktop Survey	Agency IC Tracking Number:

IC Status: Modified

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	None	CDC Homepage Mobile and Desktop	Surveys for cdc homepage mobile desktop.docx		Yes	Yes	Fillable Fileable
Form	None	CDC Homepage Mobile & Desktop Survey	Survey Images for cdc homepage mobile desktop.pdf		Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Immunization Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 600	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Previously Approved
Annual Number of Responses for this IC	600	600
Annual IC Time Burden (Hours)	70	70
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
fast-track-PRA-submission-short-form-cdc homepage mobile desktop	fast-track-PRA-submission-short-form-cdc homepage mobile desktop.doc	09/04/2013

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