WISQARS Data Visualization Usability Testing Customer Feedback

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⚠️ Notice: This information collection may be referencing outdated material.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
WISQARS Data Visualization Usability Testing Customer Feedback Form and Instruction
WISQARS User Survey Att 1_WISQARS User Survey.pdf Form and Instruction
0920-1050 Customer Service GenIC Request _WISQARS .docx GENIC Template with Project Description IC Document
Att 2_PIA Email.pdf Determination of non-applicability: Privacy Act and PII IC Document

Information Collection (IC) Details

IC Title:	WISQARS Data Visualization Usability Testing Customer Feedback	Agency IC Tracking Number:	0920-20GY

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	n/a	WISQARS User Survey	Att 1_WISQARS User Survey.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 450	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	450	450
Annual IC Time Burden (Hours)	75	75
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
GENIC Template with Project Description	0920-1050 Customer Service GenIC Request _WISQARS .docx	01/28/2020
Determination of non-applicability: Privacy Act and PII	Att 2_PIA Email.pdf	01/28/2020

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