Feedback Survey for Community Counts Data Viz Tool

[OS] CDC/ATSDR Formative Research and Tool Development

OMB: 0920-1154

IC ID: 261872

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Feedback Survey for Community Counts Data Viz Tool 0920-1154-23HW
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-1154 Feedback Survey for Community Counts Data Viz Tool Att1_(genIC) Screenshots of CC Data Viz Feedback Survey_08102023.docx NA Yes Yes Fillable Fileable

Health Consumer Health and Safety

 

100 0
   
Individuals or Households
 
   100 %

  Requested Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 100 0 0 0 0 100
Annual IC Time Burden (Hours) 5 0 0 0 0 5
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
0920-1154 Supporting Statement A (genIC) Community Counts Data Viz SSA_08102023__.docx 08/25/2023
0920-1154 Supporting Statement B (genIC) Community Counts Data Viz SSB_08102023.docx 08/25/2023
GenIC Request Template (genIC)_Request for Approval CC Data Viz_08102023_sc.docx 08/25/2023
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
© 2025 OMB.report | Privacy Policy