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CDC Homepage UX
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
OMB: 0920-0956
IC ID: 209701
OMB.report
HHS/CDC
OMB 0920-0956
ICR 201402-0920-015
IC 209701
( )
Documents and Forms
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
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
CDC Homepage UX
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
Participant Scenario List
E-Participant Scenario List - CDChomepageUX121613.docx
No
No
Paper Only
Federal Enterprise Architecture Business Reference Module
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 %
Requested
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
24
Annual IC Time Burden (Hours)
24
0
0
0
0
24
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
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.