Information Collection

FLU Vaccines Section Usability Testing

IC 223551 under ICR 201605-0920-001 · OMB 0920-1050.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1050 can be found here:

Documents and Forms

Documents and forms in this information collection
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

IC Title:

FLU Vaccines Section Usability Testing

Agency IC Tracking Number:

16ATM

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of 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 %

table that charts list of burden
	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

table that charts IC Documents
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.