OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Usability Testing to Inform Development of the CDC Division of Sexually Transmitted Disease Prevention's Website

IC 240757 under ICR 201808-0920-023 · OMB 0920-0840.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Usability Testing to Inform Development of the CDC Division of Sexually Transmitted Disease Prevention's Website 0920-0840-20LM
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-0840 Screener Adult Att E1only_ Screeners Adult Eligibility_FINAL 70120.docx No   Fillable Fileable
Form and Instruction 0920-0840 Interview Healthcare Provider Guide A Att F2_ Interview Healthcare Provider Guide_A final.docx No   Fillable Fileable
Form and Instruction 0920-0840 Interview Adult Guide Att F1_Interview Adult Guides final.docx No   Fillable Fileable
Form and Instruction 0920-0840 Interview Healthcare Provider Guide B Att F3_ Interview Healthcare Provider Guide_B final.docx No   Fillable Fileable
Form and Instruction 0920-0840 Interview Public Health Professional Guide Att F4_Interview Public Health Professional Guide final.docx No   Fillable Fileable
Form and Instruction 0920-0840 Screener Healthcare Provider Att E2_ Screener Healthcare Provider.docx No   Fillable Fileable
Form and Instruction 0920-0840 Screener Public Health Professional Att E3_Screener Public Health Professional .docx No   Fillable Fileable

Health Consumer Health and Safety

Records of Subjects in Health Promotion and Education Studies  51 FR 42449

170 0
   
Individuals or Households
 
   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 170 0 170 0 0 0
Annual IC Time Burden (Hours) 71 0 71 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Authorizing Legislation Att A Authorizing Legislation.pdf 03/18/2020
60 Day FRN Att B 60 Day FRN.pdf 03/27/2020
Recruitment Copy Att C_Recruitment Copy_OMB_FINAL 70120.docx 07/02/2020
Consent for Adult Interview Att D1only_Consent for Adult Interview_FINAL 70120.docx 07/02/2020
Consent Healthcare Providers Interview Att D2 Consent Healthcare Providers Interview.docx 03/27/2020
Consent Public Health Professionals Interview Att D3. Consent Public Health Professionals Interview.docx 03/27/2020
IRB Project Determination Att H - IRB Project-Determination.pdf 03/27/2020
SSA SSA DSTDP Usability OMB_FINAL 70120 .docx 07/02/2020
SSB SSB DSTDP Usability OMB_ FINAL 70120.docx 07/02/2020
PIA Att G - PIA_DSTD Web-based Usability.pdf 04/03/2020
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.