Information Collection

CDC Division of STD Prevention Twitter Evaluation

IC 212811 under ICR 201407-0920-003 · OMB 0920-1027.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1027 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
CDC Division of STD Prevention Twitter Evaluation	Form
Division of STD Prevention Twitter Survey CDCSTD Twitter Evaluation Survey Instrument (3).pdf	Form
@CDCSTD Evaluation_FastTrackSubmission ShortForm.docx Request for Approval - Revised	IC Document

IC Title:

CDC Division of STD Prevention Twitter Evaluation

Agency IC Tracking Number:

14AEG

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	Division of STD Prevention Twitter Survey	CDCSTD Twitter Evaluation Survey Instrument (3).pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 250

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	250	250
Annual IC Time Burden (Hours)	42	42
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Request for Approval - Revised	@CDCSTD Evaluation_FastTrackSubmission ShortForm.docx	09/03/2014

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