Information Collection

WISQARS Mobile App Online Survey

IC 211588 under ICR 201405-0920-002 · OMB 0920-1009.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1009 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
WISQARS Mobile App Online Survey May 2014.docx	Other-WORD
WISQARS Mobile App Evaluation May 2014.pdf	Instruction
Fast_Track_GenIC_Request - WISQARS Mobile App May 2014.docx Fast Track Request	IC Document

IC Title:

WISQARS Mobile App Online Survey

Agency IC Tracking Number:

11YJ

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
Other-WORD			WISQARS Mobile App Online Survey May 2014.docx		Yes	Yes	Fillable Printable
Instruction			WISQARS Mobile App Evaluation May 2014.pdf		Yes	Yes	Printable Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,000

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	1,000	1,000
Annual IC Time Burden (Hours)	167	167
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Fast Track Request	Fast_Track_GenIC_Request - WISQARS Mobile App May 2014.docx	05/13/2014

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