Information Collection

Tree Testing of HRSA's MCHB Website

IC 252998 under ICR 202206-0990-003 · OMB 0990-0379.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0990-0379 can be found here:

Documents and Forms

Document Name Document Type
0990-0379-hrsa-mchb-tree-testing-plan-2022-03-31.docx Instruction
0990-0379-hrsa-mchb-tree-testing-plan-2022-03-31.docx Instruction
0990-0379-hrsa-mchb-tree-testing-script-2022-03-31.docx Instruction
0990-0379-hrsa-mchb-tree-testing-script-2022-03-31.docx Instruction
0990-0379-memo-fast-track-hrsa-mchb-2022-03-31.docx Fast Track Memo IC Document
0990-0379-memo-fast-track-hrsa-mchb-2022-03-31.docx Fast Track Memo IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Tree Testing of HRSA's MCHB Website	Agency IC Tracking Number:

IC Status: Unchanged

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
Instruction			0990-0379-hrsa-mchb-tree-testing-plan-2022-03-31.docx		Yes	Yes	Fillable Fileable
Instruction			0990-0379-hrsa-mchb-tree-testing-script-2022-03-31.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 50	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Previously Approved
Annual Number of Responses for this IC	50	50
Annual IC Time Burden (Hours)	25	25
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Fast Track Memo	0990-0379-memo-fast-track-hrsa-mchb-2022-03-31.docx	04/20/2022

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