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

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

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

Information Collection (IC) Details

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:

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 %

	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

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.