Assessment of Pilot CDC Zika Text Message Service

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

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

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

Information Collection (IC) Details

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:

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 %

	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

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.