OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Solve the Outbreak (14GM)

IC 210038 under ICR 201402-0920-015 · OMB 0920-0956.

Documents and Forms
Document Name
Document Type
Other-Screenshots
Form
IC Document
IC Document
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Solve the Outbreak (14GM)
 
Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Screenshots F-MobileAppScreenshots - CDC_STOapplication__UX_01_07_2014 - OMB.zip Yes Yes Fillable Fileable
Form none Questionnaire D-Questionnaire -CDC_STOapplication_UX_01_07_2014 - OMB.docx Yes No Printable Only

Health Immunization Management

 

100 0
   
Individuals or Households
 
   50 %

  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 100 0 0 0 0 100
Annual IC Time Burden (Hours) 50 0 0 0 0 50
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
fast-track-PRA-submission-short-form-cdc_Solve the Outbreak iPad Usability Protocol_01_07_2014 fast-track-PRA-submission-short-form-cdc_Solve the Outbreak iPad Usability Protocol_01_07_2014.docx 01/10/2014
A-Protocal -CDC_STOapplication_UX_01_07_2014 - OMB A-Protocal -CDC_STOapplication_UX_01_07_2014 - OMB.docx 01/10/2014
B-Instructions -CDC_STOapplication_UX_01_07_2014 - OMB B-Instructions -CDC_STOapplication_UX_01_07_2014 - OMB.docx 01/10/2014
C-Consent Forms -CDC_STOapplication_UX_01_07_2014 - OMB C-Consent Forms -CDC_STOapplication_UX_01_07_2014 - OMB.docx 01/10/2014
E-Scenarios -CDC_STOapplication_UX_01_07_2014 - OMB E-Scenarios -CDC_STOapplication_UX_01_07_2014 - OMB.docx 01/10/2014
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.