Information Collection

IA30918 Q_CDC Web Browse_updated by Michelle 3-31-2021_DOT

IC 253986 under ICR 202109-1090-002 · OMB 1090-0008.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1090-0008 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form IA30918 Q_CDC Web IA30918 Q_CDC Web Browse_updated by Michelle 3-31-2021_DOT IA30918 Q_CDC Web Browse_updated by Michelle 3-31-2021_DOT	Form and Instruction
IA30918 Q_CDC Web IA30918 Q_CDC Web Browse_updated by Michelle 3-31-2021_D IA30918 Q_CDC Web Browse_updated by Michelle 3-31-2021_DOT.xlsx	Form and Instruction
1090-0008 Generic Clearance Request Form CDC Enterprise DesktopV2-Signed.pdf 1090-0008 Generic Clearance Request Form CDC Enterprise DesktopV2-Signed	IC Document
1090-0008 Survey Mapping Document CDC Enterprise desktop - Copy.docx 1090-0008 Survey Mapping Document CDC Enterprise desktop - Copy	IC Document

IC Title:

IA30918 Q_CDC Web Browse_updated by Michelle 3-31-2021_DOT

Agency IC Tracking Number:

IA30918 Q_CDC Web Browse_updated by Michelle 3-31

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	IA30918 Q_CDC Web Browse_updated by Michelle 3-31				Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 13,812

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	13,812	13,812
Annual IC Time Burden (Hours)	1,913	1,913
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
1090-0008 Generic Clearance Request Form CDC Enterprise DesktopV2-Signed		06/02/2022
1090-0008 Survey Mapping Document CDC Enterprise desktop - Copy		06/02/2022

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

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