OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Usability and Needs Assessment of CDC's State, Tribal, Local, and Territorial Gateway Website

IC 228708 under ICR 201412-0920-011 · OMB 0920-0879.

Documents and Forms
Document Name
Document Type
Other-Reference document: WORD versi
Other-Reference document: WORD versi
Form and Instruction
Form and Instruction
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Usability and Needs Assessment of CDC's State, Tribal, Local, and Territorial Gateway Website 0920-18CH
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Reference document: WORD version of Web Quesionnaire Content Attachment B Questionnaire Information Collection Instrument MS Word Version.docx No   Paper Only
Form and Instruction n/a Card Sorting Assessment Instrument for the STLT Gateway Attachment E Card Sorting Information Collection Instrument.pdf Yes Yes Fillable Fileable
Form and Instruction n/a STLT Gateway Website Assessment Questionnaire Attachment C Questionnaire Information Collection Instrument Web Version.docx Yes Yes Fillable Fileable
Other-Reference document: WORD version of Card Sorting Instrument Content Attachment D Card Sorting Information Collection Instrument MS Word Version.docx No   Paper Only

Health Consumer Health and Safety

 

2,913 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 2,913 0 2,913 0 0 0
Annual IC Time Burden (Hours) 576 0 576 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Supporting Statement Part A UX-OSTLTS-SSA.docx 10/18/2017
Supporting Statement Part B UX-OSTLTS-SSB.docx 10/18/2017
Screenshot of the STLT Gateway Attachment A STLT Gateway Screenshot.pdf 10/18/2017
Method Used to Estimate Average Hourly Wage Attachment F Calculating Average Hourly Wages for STLT Health Professional Respondent Burden (for Table A-12).docx 10/18/2017
Questionnaire Invitation Attachment G Questionnaire Invitation.docx 10/18/2017
Questionnaire Reminder Attachment H Questionnaire Reminder.docx 10/18/2017
Card Sorting Invitation Attachment I Card Sorting Invitation.docx 10/18/2017
Card Sorting Reminder Attachment J Card Sorting Reminder.docx 10/18/2017
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.