Information Collection

CDC Solve the Outbreak Mobile App

IC 226008 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⚠️ Notice: This information collection may be referencing outdated material.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
CDC Solve the Outbreak Mobile App	Form
Solve the Outbreak (General Public version) B_Screenshots-STO General Public.docx	Form
Solve the Outbreak (Teacher version) C_Screenshots_STO Teachers.docx	Form
Solve the Outbreak (Student version) D_Screenshots-STO Students.docx	Form
Fast-track-template-STOSurvey03082017.docx Completed Fast Track Submission Template	IC Document
A_Overview of Questions_03082017.DOCX Overview of Customized Survey Questions	IC Document

IC Title:

CDC Solve the Outbreak Mobile App

Agency IC Tracking Number:

0920-17XY

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	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	N/A	Solve the Outbreak (General Public version)	B_Screenshots-STO General Public.docx	Yes	Yes	Fillable Fileable
Form	N/A	Solve the Outbreak (Teacher version)	C_Screenshots_STO Teachers.docx	Yes	Yes	Fillable Fileable
Form	N/A	Solve the Outbreak (Student version)	D_Screenshots-STO Students.docx	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

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
Completed Fast Track Submission Template	Fast-track-template-STOSurvey03082017.docx	03/08/2017
Overview of Customized Survey Questions	A_Overview of Questions_03082017.DOCX	03/08/2017

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