Information Collection

[NCCDPHP] USCS Data Visualizations Tool- Private Sector

IC 260962 under ICR 202505-0920-006 · OMB 0920-1050.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1050 can be found here:

2025-06-23 - Revision of a currently approved collection

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 0920-23GI [NCCDPHP] USCS Data Visualizations Tool- Private Sector	Form and Instruction
Form 0920-23GI Customer Service GenIC Clearance_USCS-DataViz_Private-Sector_Attachment-1 [NCCDPHP] USCS Data Visualizations Tool- Private Sector	Form and Instruction
0920-23GI Customer Service GenIC Clearance_USCS-DataViz_Private-Se Customer Service GenIC Clearance_USCS-DataViz_Private-Sector_Attachment-1.docx	Form and Instruction
0920-23GI Customer Service GenIC Clearance_USCS-DataViz_Private-Se Customer Service GenIC Clearance_USCS-DataViz_Private-Sector_Attachment-1.docx	Form and Instruction
0920-1050_Supporting Statement A_USCS-DataViz_Private_Sector.docx 0920-1050_Supporting Statement A_USCS-DataViz_Private_Sector	IC Document
0920-1050_Supporting Statement A_USCS-DataViz_Private_Sector.docx 0920-1050_Supporting Statement A_USCS-DataViz_Private_Sector	IC Document
0920-1050_Supporting Statement B_USCS-DataViz_Private_Sector.docx 0920-1050_Supporting Statement B_USCS-DataViz_Private_Sector	IC Document
0920-1050_Supporting Statement B_USCS-DataViz_Private_Sector.docx 0920-1050_Supporting Statement B_USCS-DataViz_Private_Sector	IC Document
DCPC1050 Form_Private-Sector.docx DCPC1050 Form_Private-Sector	IC Document
DCPC1050 Form_Private-Sector.docx DCPC1050 Form_Private-Sector	IC Document
DCPC1050 Form_Private-Sector.docx Request for Approval	IC Document
DCPC1050 Form_Private-Sector.docx Request for Approval	IC Document
DCPC1050 Form_Private-Sector_v2.docx DCPC1050 Form_Private-Sector_v2	IC Document
DCPC1050 Form_Private-Sector_v2.docx DCPC1050 Form_Private-Sector_v2	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

[NCCDPHP] USCS Data Visualizations Tool- Private Sector

Agency IC Tracking Number:

0920-1050-23GI

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
Form and Instruction	0920-23GI				Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 189

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions, Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	189	189
Annual IC Time Burden (Hours)	65	65
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
0920-1050_Supporting Statement A_USCS-DataViz_Private_Sector		07/19/2023
0920-1050_Supporting Statement B_USCS-DataViz_Private_Sector		07/19/2023
DCPC1050 Form_Private-Sector		07/19/2023
Request for Approval		07/28/2023
DCPC1050 Form_Private-Sector_v2		09/28/2023

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

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