CDC Solve the Outbreak Mobile App

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

OMB: 0920-1050

IC ID: 226008

Documents and Forms
Document Name
Document Type
Form
Form
Form
Form
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

CDC Solve the Outbreak Mobile App 0920-17XY
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL 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

Health Consumer Health and Safety

 

400 0
   
Individuals or Households
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 400 0 400 0 0 0
Annual IC Time Burden (Hours) 67 0 67 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.
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