Information Collection

CDC's Social Vulnerability Index Webpage Survey

IC 226606 under ICR 201510-0923-001 · OMB 0923-0047.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0923-0047 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
CDC's Social Vulnerability Index Webpage Survey	Form and Instruction
Survey for CDC's Social Vulnerability Index (SVI) Websit Attachment C - CDC SVI Survey Screenshot.docx	Form and Instruction
Attachment A - Email Invitation for CDC SVI Survey.docx Survey Invitation - Email	IC Document
Social Vulnerability Index Webpage Survey GenIC Request Form.pdf GenIC Request	IC Document

IC Title:

CDC's Social Vulnerability Index Webpage Survey

Agency IC Tracking Number:

0923-0047-17AHV

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	Survey for CDC's Social Vulnerability Index (SVI) Website - Screenshot	Attachment C - CDC SVI Survey Screenshot.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: 30

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	30	30
Annual IC Time Burden (Hours)	8	8
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Survey Invitation - Email	Attachment A - Email Invitation for CDC SVI Survey.docx	04/28/2017
GenIC Request	Social Vulnerability Index Webpage Survey GenIC Request Form.pdf	04/28/2017

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