Information Collection

Message Matrix

IC 259216 under ICR 202306-0990-002 · OMB 0990-0476.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
HHS COVID-19 Messaging Matrix Wave 6 Questionnaire_10-06-22.docx	Other-Messaging Metrix questionnaire
HHS COVID-19 Messaging Matrix Wave 7_Survey_track changes.docx	Other-Msg Matrix Wave 7 Survey

IC Title:

Message Matrix

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

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-Messaging Metrix questionnairea					Yes	Yes	Fillable Fileable
Other-Msg Matrix Wave 7 Survey					Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Immunization Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 378,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	378,000	378,000
Annual IC Time Burden (Hours)	24,600	24,600
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.

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