WISQARS Data Visualization Usability Testing Customer Feedback

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

Documents and Forms

Document Name Document Type
WISQARS Data Visualization Usability Testing Customer Feedback Form
Attachment_2_Survey.docx Other-Discussion Guide
Screener Attachment_1_Participant_Screener.docx Form
1009 GenIC_Request_WISQARS_Data_Visualization.docx Request for Approval IC Document

Information Collection (IC) Details

IC Title:	WISQARS Data Visualization Usability Testing Customer Feedback	Agency IC Tracking Number:	0920-1009-19MP

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
Form	none	Screener	Attachment_1_Participant_Screener.docx		Yes	Yes	Fillable Fileable
Other-Discussion Guide			Attachment_2_Survey.docx		Yes	No	Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 86	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	86	86
Annual IC Time Burden (Hours)	44	44
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Request for Approval	1009 GenIC_Request_WISQARS_Data_Visualization.docx	01/24/2019

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