CDC Digital Health Tools Evaluation

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

OMB: 0920-0956

IC ID: 213571

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

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CDC Digital Health Tools Evaluation 15CH
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form none CDC Digital Health Tools Survey Attachment C-CDC-Digital-Health-Tools-Survey-Question-Screen-Shots-2.docx Yes Yes Fillable Fileable
Form none CDC Digital Health Tools Survey - word Attachment B-CDC Digital Health Tools Survey Questions-2.docx Yes Yes Fillable Fileable

Health Consumer Health and Safety

 

500 0
   
Individuals or Households
 
   100 %

  Approved 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 500 0 500 0 0 0
Annual IC Time Burden (Hours) 208 0 208 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Survey Protocol Attachment A-CDC-Digital-Health-Tools-Protocol.docx 10/22/2014
Request for Approval fast-track-PRA-submission-short-form-cdc-DigitalHealthTools2014.docx 10/22/2014
Digital Health Tools -screenshots Attachment D-CDC Digital Health Tools Screen Shots-2.docx 10/22/2014
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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