WISQARS Data Visualization Mapping 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⚠️ Notice: This information collection may be referencing outdated material.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
Form 0920-20QB WISQARS Data Visualization Mapping Usability Testing Customer Feedback Form and Instruction
0920-20QB Participant_Screener Attachment_1_Participant_Screener.docx Form and Instruction
0920-20QB Usability_Testing_Discussion_Guide Attachment_2_Usability_Testing_Discussion_Guide.docx Form and Instruction
PII Email.pdf PII Email IC Document
0920-1050 Customer Service GenIC Request _WISQARS .docx GenIC Request IC Document

Information Collection (IC) Details

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

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	0920-20QB	Participant_Screener	Attachment_1_Participant_Screener.docx		Yes	Yes	Fillable Fileable
Form and Instruction	0920-20QB	Usability_Testing_Discussion_Guide	Attachment_2_Usability_Testing_Discussion_Guide.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 36	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	36	36
Annual IC Time Burden (Hours)	42	42
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
PII Email	PII Email.pdf	07/06/2020
GenIC Request	0920-1050 Customer Service GenIC Request _WISQARS .docx	07/06/2020

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