Information Collection

CDC GIS Day Stakeholder Registration and Feedback

IC 228069 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⚠️ Notice: This information collection may be referencing outdated material.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 GIS Day Stakeholder Registration and Feedback	Form
Registration and Feedback Attachment A1 - Stakeholder Registration and Feedback Form (screenshots).docx	Form
Where in the World quiz Attachment B1 - Where in the World Quiz (screenshots).docx	Form
CDC GIS Day Stakeholder Registration and Feedback.pdf Request for Approval	IC Document
Attachment C - Recruitment Email.docx Recruitment Email	IC Document

IC Title:

CDC GIS Day Stakeholder Registration and Feedback

Agency IC Tracking Number:

0923-0047-17BAL

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	Registration and Feedback	Attachment A1 - Stakeholder Registration and Feedback Form (screenshots).docx		Yes	Yes	Fillable Fileable
Form	none	Where in the World quiz	Attachment B1 - Where in the World Quiz (screenshots).docx		Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 300

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	300	300
Annual IC Time Burden (Hours)	25	25
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Request for Approval	CDC GIS Day Stakeholder Registration and Feedback.pdf	08/30/2017
Recruitment Email	Attachment C - Recruitment Email.docx	08/30/2017

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