Information Collection

IIU Design Sprint

IC 226828 under ICR 201611-0920-005 · OMB 0920-1158.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1158 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
CDC I-Catalyst Interview Guide _Questions IIU Design Sprint.docx	Other-Interview Guide
Request for Approval GenIC_Clearance- Project 1 OPHSS_CSELS Data Hub.docx Request for Approval	IC Document
ICatalyst Supporting Statements IIU Design Sprint.docx Supporting statement A	IC Document

IC Title:

IIU Design Sprint

Agency IC Tracking Number:

17AIY

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
Other-Interview Guide			CDC I-Catalyst Interview Guide _Questions IIU Design Sprint.docx		Yes	No	Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 250

Number of Respondents for Small Entity: 0

Affected Public: Federal Government

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	250	250
Annual IC Time Burden (Hours)	125	125
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Request for Approval	Request for Approval GenIC_Clearance- Project 1 OPHSS_CSELS Data Hub.docx	05/15/2017
Supporting statement A	ICatalyst Supporting Statements IIU Design Sprint.docx	05/15/2017

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