Testing Clear Communication Index Website

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

OMB: 0920-0956

IC ID: 210376

Documents and Forms
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Document Type
Form
Form
IC Document
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IC Document
IC Document
IC Document
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IC Document
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Information Collection (IC) Details

View Information Collection (IC)

Testing Clear Communication Index Website
 
Modified
 
Voluntary
 

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

Health Immunization Management

 

264 0
   
Individuals or Households
 
   100 %

  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

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.
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