Information Collection

CDC Homepage Mobile & Desktop Survey

IC 208545 under ICR 201402-0920-015 · OMB 0920-0956.

Documents and Forms

Documents and forms in this information collection
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

IC Title:

Agency IC Tracking Number:

IC Status: Modified

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	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 %

table that charts list of burden
	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

table that charts IC Documents
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.