Information Collection

WISQARS Data Visualization Usability Testing Customer Feedback

IC 234744 under ICR 201612-0920-007 · OMB 0920-1009.

Documents and Forms

Documents and forms in this information collection
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

IC Title:

Agency IC Tracking Number:

0920-1009-19MP

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	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 %

table that charts list of burden
	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

table that charts IC Documents
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.