Information Collection

CDC Homepage Post-launch Survey

IC 211032 under ICR 201402-0920-015 · OMB 0920-0956.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
CDC Homepage Post-launch Survey	Form
CDC Homepage Survey Attachment B - Screenshots for CDC Homepage Survey - AfterLaunch - 033114.docx	Form
fast-track-PRA-submission-short-form-cdc-CDC Homepage Survey - AfterLaunch - 033114.docx Request for Approval	IC Document
Attachment A - CDC Homepage Survey - Post Launch - 032714.docx CDC Homepage Survey-Word	IC Document

IC Title:

Agency IC Tracking Number:

OADC

IC Status: New

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	CDC Homepage Survey	Attachment B - Screenshots for CDC Homepage Survey - AfterLaunch - 033114.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 400

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	400	400
Annual IC Time Burden (Hours)	33	33
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-CDC Homepage Survey - AfterLaunch - 033114.docx	03/31/2014
CDC Homepage Survey-Word	Attachment A - CDC Homepage Survey - Post Launch - 032714.docx	03/31/2014

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.