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.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0840 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 0920-0840 Usability Testing to Inform Development of the CDC Division of Sexually Transmitted Disease Prevention's Website	Form and Instruction
0920-0840 Screener Adult Att E1only_ Screeners Adult Eligibility_FINAL 70120.docx	Form and Instruction
0920-0840 Screener Healthcare Provider Att E2_ Screener Healthcare Provider.docx	Form and Instruction
0920-0840 Screener Public Health Professional Att E3_Screener Public Health Professional .docx	Form and Instruction
0920-0840 Interview Adult Guide Att F1_Interview Adult Guides final.docx	Form and Instruction
0920-0840 Interview Healthcare Provider Guide A Att F2_ Interview Healthcare Provider Guide_A final.docx	Form and Instruction
0920-0840 Interview Healthcare Provider Guide B Att F3_ Interview Healthcare Provider Guide_B final.docx	Form and Instruction
0920-0840 Interview Public Health Professional Guide Att F4_Interview Public Health Professional Guide final.docx	Form and Instruction
Att G - PIA_DSTD Web-based Usability.pdf PIA	IC Document
Att A Authorizing Legislation.pdf Authorizing Legislation	IC Document
Att B 60 Day FRN.pdf 60 Day FRN	IC Document
Att C_Recruitment Copy_OMB_FINAL 70120.docx Recruitment Copy	IC Document
Att D1only_Consent for Adult Interview_FINAL 70120.docx Consent for Adult Interview	IC Document
Att D2 Consent Healthcare Providers Interview.docx Consent Healthcare Providers Interview	IC Document
Att D3. Consent Public Health Professionals Interview.docx Consent Public Health Professionals Interview	IC Document
Att H - IRB Project-Determination.pdf IRB Project Determination	IC Document
SSA DSTDP Usability OMB_FINAL 70120 .docx SSA	IC Document
SSB DSTDP Usability OMB_ FINAL 70120.docx SSB	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

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

Agency IC Tracking Number:

0920-0840-20LM

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	Available 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

Federal Enterprise Architecture Business Reference Module

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title: Records of Subjects in Health Promotion and Education Studies

FR Citation: 51 FR 42449

Number of Respondents: 170

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

Documents for IC

table that charts IC Documents
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.