CDC Influenza Partner Activity Web Page Evaluation

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

OMB: 0920-1026

IC ID: 217790

Documents and Forms
Document Name
Document Type
Other-WORD
Other-Screenshots
IC Document
Information Collection (IC) Details

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CDC Influenza Partner Activity Web Page Evaluation 15AZL
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-WORD Attachment A_Influenza Partner Activity Webpage Evaluation_Protocol, Email blurb and survey instrument.docx Yes Yes Fillable Printable
Other-Screenshots Attachment B_CDC Influenza Partner Activity Web Page Evaluation Screenshots_Surveymonkey.docx Yes Yes Paper Only

Health Health Care Services

 

1,096 0
   
State, Local, and Tribal Governments
 
   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 1,096 0 1,096 0 0 0
Annual IC Time Burden (Hours) 274 0 274 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Request for Approval 0920-1026 GenIC Submission_ CDC Influenza Partner Activity Web Page Evaluation_Final.docx 08/05/2015
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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