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IIU Design Sprint
CDC I-Catalyst Program
OMB: 0920-1158
IC ID: 226828
OMB.report
HHS/CDC
OMB 0920-1158
ICR 201611-0920-005
IC 226828
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1158 can be found here:
2020-01-28 - Revision of a currently approved collection
Documents and Forms
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
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
IIU Design Sprint
Agency IC Tracking Number:
17AIY
IC Status:
New
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection 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
Federal Enterprise Architecture Business Reference Module
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 %
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
250
0
250
0
0
0
Annual IC Time Burden (Hours)
125
0
125
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
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.