Information Collection

Creative Testing Experiment Questionaire

IC 259215 under ICR 202303-0990-003 · OMB 0990-0476.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0990-0476 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
0990-0476 Creative Testing Experiment Questionnaire_Boosters_06162022.docx	Other-Testing Questionnaire
0990-0476 Creative Testing Experiment Questionnaire_Boosters_06162022.docx	Other-Testing Questionnaire

IC Title:

Creative Testing Experiment Questionaire

Agency IC Tracking Number:

Is this a Common Form? No

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
Other-Testing Questionnaire			0990-0476 Creative Testing Experiment Questionnaire_Boosters_06162022.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Immunization Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 252,000

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	252,000	252,000
Annual IC Time Burden (Hours)	14,400	14,400
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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