OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Testing Clear Communication Index Website

IC 210376 under ICR 201402-0920-015 · OMB 0920-0956.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Testing Clear Communication Index Website Form
Survey
Att.K Web Survey Questions.docx 		Form
Att.A-Web Survey Protocol.docx
A - Protocol		IC Document
Att.B_1-Before-Clinicians-Flu.pdf
B1 - Clinicians - before flu		IC Document
Att.B_3-Before-Clinicians-Wisconsin.pdf
B3 - Clinicians - before WI		IC Document
Att.B_4- After-Clinicians-Wisconsin.pdf
B4 - Clinicians - after WI		IC Document
Att.B_5- Before-Partners-HAI.png
B5 - Partners - before HAI		IC Document
Att.B_6-After-Partners-HAI.pdf
B6 - Partners - after HAI		IC Document
Att.B_7- Before-Partners-Heart-Disease.png
B7 - Partners - before HD		IC Document
Att.B_8-After-Partners-Heart-Disease.pdf
B8 - Partners - after HD		IC Document
Att.B_10-After-Policymakers-Budget.pdf
B10 - Policy - after budget		IC Document
Att.B_11-Before-Policymakers-Epidemiology.pdf
B11 - Policy - before epi		IC Document
Att.B_12- After-Policymakers-Epidemiology.pdf
B12 - Policy - after epi		IC Document
Att.B_13-Before-Health-Departments-MAHC.pdf
B13 - HD - before MAHC		IC Document
Att.B_14 -After-Health-Departments-MAHC.pdf
B14 - HD - after MAHC		IC Document
Att.B_15-Before-HealthDept-NVDRS_2013.12.12.pdf
B15 - HD - before NVDRS		IC Document
Att.B_16-After-Health-Departments-NVDRS.pdf
B16 - HD - after NVDRS		IC Document
Att.L Recruitment Materials.docx
L - recruitment materials		IC Document
GenIC_Index Web Survey.corrected.docx
Request for Approval		IC Document
Att.B_2-After-Clinicians-Flu.pdf
B2- Clinicians - after flu		IC Document
Att.B_9-Before-Policymakers-Budget.pdf
B9- Policy- before budget		IC Document

Information Collection (IC) Details

View Information Collection (IC)

layout table

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 Survey Att.K Web Survey Questions.docx Yes Yes Fillable Fileable

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  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 264 0 0 0 0 264
Annual IC Time Burden (Hours) 88 0 0 0 0 88
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Documents for IC
table that charts IC Documents
Title Document Date Uploaded
A - Protocol Att.A-Web Survey Protocol.docx 02/12/2014
B1 - Clinicians - before flu Att.B_1-Before-Clinicians-Flu.pdf 02/12/2014
B3 - Clinicians - before WI Att.B_3-Before-Clinicians-Wisconsin.pdf 02/12/2014
B4 - Clinicians - after WI Att.B_4- After-Clinicians-Wisconsin.pdf 02/12/2014
B5 - Partners - before HAI Att.B_5- Before-Partners-HAI.png 02/12/2014
B6 - Partners - after HAI Att.B_6-After-Partners-HAI.pdf 02/12/2014
B7 - Partners - before HD Att.B_7- Before-Partners-Heart-Disease.png 02/12/2014
B8 - Partners - after HD Att.B_8-After-Partners-Heart-Disease.pdf 02/12/2014
B10 - Policy - after budget Att.B_10-After-Policymakers-Budget.pdf 02/12/2014
B11 - Policy - before epi Att.B_11-Before-Policymakers-Epidemiology.pdf 02/12/2014
B12 - Policy - after epi Att.B_12- After-Policymakers-Epidemiology.pdf 02/12/2014
B13 - HD - before MAHC Att.B_13-Before-Health-Departments-MAHC.pdf 02/12/2014
B14 - HD - after MAHC Att.B_14 -After-Health-Departments-MAHC.pdf 02/12/2014
B15 - HD - before NVDRS Att.B_15-Before-HealthDept-NVDRS_2013.12.12.pdf 02/12/2014
B16 - HD - after NVDRS Att.B_16-After-Health-Departments-NVDRS.pdf 02/12/2014
L - recruitment materials Att.L Recruitment Materials.docx 02/12/2014
Request for Approval GenIC_Index Web Survey.corrected.docx 02/12/2014
B2- Clinicians - after flu Att.B_2-After-Clinicians-Flu.pdf 02/20/2014
B9- Policy- before budget Att.B_9-Before-Policymakers-Budget.pdf 02/20/2014
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.