Information Collection

Assessment of Pilot CDC Zika Text Message Service

IC 222936 under ICR 201503-0920-011 · OMB 0920-1071.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1071 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Assessment of Pilot CDC Zika Text Message Service	Form and Instruction
CDC Zika Text Message Service Survey Text message survey_8.10.16_Final.docx	Form and Instruction
Service Delivery Fast Track for Zika text messaging V4_8.10.16_FINAL.docx GenIC Request	IC Document
Flow Chart.pdf Zika Interactive Text - Flow Chart	IC Document
NRD - Assessment of Pilot CDC Zika Text Message Service.pdf Non-Research Determination	IC Document

IC Title:

Assessment of Pilot CDC Zika Text Message Service

Agency IC Tracking Number:

0920-1071-16AZF

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 and Instruction	NA	CDC Zika Text Message Service Survey	Text message survey_8.10.16_Final.docx	NA	Yes	Yes	Fillable Fileable

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)	83	83
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
GenIC Request	Service Delivery Fast Track for Zika text messaging V4_8.10.16_FINAL.docx	08/10/2016
Zika Interactive Text - Flow Chart	Flow Chart.pdf	08/10/2016
Non-Research Determination	NRD - Assessment of Pilot CDC Zika Text Message Service.pdf	08/10/2016

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