CDC Homepage Post-launch Survey

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

Documents and Forms

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

Information Collection (IC) Details

IC Title:	CDC Homepage Post-launch Survey	Agency IC Tracking Number:	OADC

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection 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 %

	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

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.