Information Collection

NSSP BioSense Platform User Assessment: Functionality and Utility

IC 236064 under ICR 201711-0920-012 · OMB 0920-0879.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0879 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
NSSP BioSense Platform User Assessment: Functionality and Utility	Form and Instruction
Attachment B-NSSP BioSense Platform User Assesment - Word Version.pdf	Other-This is a Word version of the
The NSSP BioSense Platform User Assessment Attachment C-NSSP BioSense Platform User Assesment - Web Version.pdf	Form and Instruction
BIOSENSE-S-SSA.docx Supporting Statement Part A	IC Document
BIOSENSE-S-SSB.docx Supporting Statement Part B	IC Document
Attachment A-Respondent Breakdown.docx Summary of Respondents by Type (State or Local Govt)	IC Document
Attachment D-Assessment Invitation Email.docx Invitation Email	IC Document
Attachment E-Assessment Reminder Email.docx Reminder Email	IC Document

IC Title:

NSSP BioSense Platform User Assessment: Functionality and Utility

Agency IC Tracking Number:

0920-19AUL-2

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 and Instruction	n/a	The NSSP BioSense Platform User Assessment	Attachment C-NSSP BioSense Platform User Assesment - Web Version.pdf		Yes	Yes	Fillable Fileable
Other-This is a Word version of the instrument to facilitate review of content			Attachment B-NSSP BioSense Platform User Assesment - Word Version.pdf		No		Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 218

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

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	218	218
Annual IC Time Burden (Hours)	73	73
Annual IC Cost Burden (Dollars)	2,664	2,664

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Supporting Statement Part A	BIOSENSE-S-SSA.docx	05/13/2019
Supporting Statement Part B	BIOSENSE-S-SSB.docx	05/13/2019
Summary of Respondents by Type (State or Local Govt)	Attachment A-Respondent Breakdown.docx	05/13/2019
Invitation Email	Attachment D-Assessment Invitation Email.docx	05/13/2019
Reminder Email	Attachment E-Assessment Reminder Email.docx	05/13/2019

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