Information Collection

Seasonal Flu: Email Updates Satisfaction Survey

IC 228181 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⚠️ Notice: This information collection may be referencing outdated material.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
Seasonal Flu: Email Updates Satisfaction Survey	Form and Instruction
Flu Email Updates Survey C-SURVEY QUESTIONS_Flu Email Updates_08_08_2017 (002).docx	Form and Instruction
B-INVITATION_Flu Email Updates_08_08_2017 (002).docx Invitation Email - Flu Email Updates	IC Document
A-PROTOCOL_Flu Email Updates_08_08_2017 (002).docx Protocol - Flu Email Updates	IC Document
Fast_Track_GenIC_Request_Flu Email Updates.docx GenIC Request - Flu Email Updates	IC Document

IC Title:

Seasonal Flu: Email Updates Satisfaction Survey

Agency IC Tracking Number:

0920-1050-17BAX

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 and Instruction	NA	Flu Email Updates Survey	C-SURVEY QUESTIONS_Flu Email Updates_08_08_2017 (002).docx	NA	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 100

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	100	100
Annual IC Time Burden (Hours)	8	8
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Invitation Email - Flu Email Updates	B-INVITATION_Flu Email Updates_08_08_2017 (002).docx	09/05/2017
Protocol - Flu Email Updates	A-PROTOCOL_Flu Email Updates_08_08_2017 (002).docx	09/05/2017
GenIC Request - Flu Email Updates	Fast_Track_GenIC_Request_Flu Email Updates.docx	09/05/2017

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