Information Collection

App and Web Usability Study for CDC's STD Treatment Guidelines

IC 236016 under ICR 201902-0920-022 · OMB 0920-1050.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1050 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 0920-1050 App and Web Usability Study for CDC's STD Treatment Guidelines	Form and Instruction
0920-1050 User Testing Questions for STD Tx Guide Mobile App and W Attachment_A_Testing_Script.docx	Form and Instruction
Attachment_B_Recruitment_Method.docx Recruitment Method	IC Document
Attachment_C_Participant_Information_Sheet.docx Participant Information Sheet	IC Document
GenIC Request Form_CDC App Web Usability Revised 24MAY2019.pdf GenIC Request	IC Document

IC Title:

App and Web Usability Study for CDC's STD Treatment Guidelines

Agency IC Tracking Number:

0920-1050-19AUQ

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	0920-1050	User Testing Questions for STD Tx Guide Mobile App and Website	Attachment_A_Testing_Script.docx	NA	No		Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 45

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 50 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	45	45
Annual IC Time Burden (Hours)	23	23
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Recruitment Method	Attachment_B_Recruitment_Method.docx	05/20/2019
Participant Information Sheet	Attachment_C_Participant_Information_Sheet.docx	05/20/2019
GenIC Request	GenIC Request Form_CDC App Web Usability Revised 24MAY2019.pdf	05/28/2019

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