FLU Vaccines Section Usability Testing

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⚠️ Notice: This information collection may be referencing outdated material.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 0920-1050 can be found here:

Documents and Forms

Document Name Document Type
C-Flu Vaccine Tree Test screen shots.docx Other-Screenshots
A-Protocal -CDC_FluVaccine-OMB.docx Instruction
B-Tree Test Tasks.docx Instruction
E-fast-track-PRA-submission-short-form-cdc_fluvaccines_Usability Protocol.docx Request for Approval IC Document

Information Collection (IC) Details

IC Title:	FLU Vaccines Section Usability Testing	Agency IC Tracking Number:	16ATM

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction	A-Protocal -CDC_FluVaccine-OMB.docx	Yes	Yes	Printable Only
Instruction	B-Tree Test Tasks.docx	Yes	Yes	Paper Only
Other-Screenshots	C-Flu Vaccine Tree Test screen shots.docx	Yes	Yes	Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 400	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	400	400
Annual IC Time Burden (Hours)	67	67
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Request for Approval	E-fast-track-PRA-submission-short-form-cdc_fluvaccines_Usability Protocol.docx	09/19/2016

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