Information Collection

CDC Homepage UX

IC 209701 under ICR 201402-0920-015 · OMB 0920-0956.

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: 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	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
	Requested	Previously Approved
Annual Number of Responses for this IC	24	24
Annual IC Time Burden (Hours)	24	24
Annual IC Cost Burden (Dollars)	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.