Information Collection

BioSense Platform User Satisfaction Survey

IC 227541 under ICR 201606-0920-007 · OMB 0920-0974.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
BioSense Platform User Satisfaction Survey - Local Users - Final 07132017sds2.docx	Other-WORD
BioSense Platform User Satisfaction Survey - Local Users EpiInfo Screen ....docx	Other-SCREENSHOTS
BioSense Platform User Satisfaction Survey - Site Administrators - Final....docx	Other-WORD
BioSense Platform User Satisfaction Survey - Site Administrators EpiInfo....docx	Other-SCREENSHOTS
GenIC Request 0920-0974_BioSense Platform User Satisfaction Survey - Fin....docx Request for Approval Justification	IC Document
Invitation Email for BioSense Platform User Satisfaction Survey - Local ....docx Invitation Email for Local Users	IC Document
Invitation Email for BioSense Platform User Satisfaction Survey - Site A....docx Invitation Email for Site Administrators	IC Document
New _Requirements_0920-0974_BioSense Platform User Satisfaction Survey -....docx New Requirements Documents	IC Document
Reminder Email for BioSense Platform User Satisfaction Survey - Local Us....docx Reminder Email for Local Users	IC Document
Reminder Email for BioSense Platform User Satisfaction Survey - Site Adm....docx Reminder Email for Site Administrators	IC Document

IC Title:

Agency IC Tracking Number:

0920-0974 (17AWW)

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
Other-WORD	BioSense Platform User Satisfaction Survey - Local Users - Final 07132017sds2.docx	Yes	Yes	Paper Only
Other-SCREENSHOTS	BioSense Platform User Satisfaction Survey - Local Users EpiInfo Screen ....docx	Yes	Yes	Fillable Fileable
Other-WORD	BioSense Platform User Satisfaction Survey - Site Administrators - Final....docx	Yes	Yes	Paper Only
Other-SCREENSHOTS	BioSense Platform User Satisfaction Survey - Site Administrators EpiInfo....docx	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 47

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	47	47
Annual IC Time Burden (Hours)	20	20
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Request for Approval Justification	GenIC Request 0920-0974_BioSense Platform User Satisfaction Survey - Fin....docx	07/20/2017
Invitation Email for Local Users	Invitation Email for BioSense Platform User Satisfaction Survey - Local ....docx	07/20/2017
Invitation Email for Site Administrators	Invitation Email for BioSense Platform User Satisfaction Survey - Site A....docx	07/20/2017
New Requirements Documents	New _Requirements_0920-0974_BioSense Platform User Satisfaction Survey -....docx	07/20/2017
Reminder Email for Local Users	Reminder Email for BioSense Platform User Satisfaction Survey - Local Us....docx	07/20/2017
Reminder Email for Site Administrators	Reminder Email for BioSense Platform User Satisfaction Survey - Site Adm....docx	07/20/2017

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