OMB control number

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

OMB 0920-0956 · HHS/CDC.

OMB 0920-0956

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Flu vaccine - screenshots - BForm
Flu vaccine - screenshots - AForm
Flu shots - screenshots - BForm
Flu shots - screenshots - AForm
Congenital Heart Defects - screenshots - BForm
Congenital Heart Defects - screenshots - AForm
Emergency Supplies - screenshots - BForm
Emergency Supplies - screenshots - AForm
Integrated Pest Management - screenshots - BForm
Integrated Pest Management - screenshots - AForm
Environmental Health - Screenshots - BForm
Environmental Health Training - screenshots - AForm
Mental Health among Women - screenshots - BForm
Mental Health among Women screenshots - AForm
SurveyForm
CDC Digital Health Tools Survey - wordForm
CDC Digital Health Tools SurveyForm
English Homepage SurveyForm
Spanish Homepage SurveyForm
Card Sort ScreenshotsForm
CDC Homepage SurveyForm
SurveyForm
QuestionnaireForm
Participant Scenario ListForm
Attachment 2: Click Testing Screen ShotsForm and Instruction
Attachment 10: CDC Keeps America Healthy, Safe, and Secure. Case Study: Fort Leonard Wood, MissouriForm and Instruction
Attachment 9: CDC Priorities and FY 2014 Budget RequestForm and Instruction
Attachment 8: The National Violent Death Reporting System (NVDRS): A Valuable Tool for PreventionForm and Instruction
Attachment 7: Use the Model Aquatic Health Code to Make Swimming Healthy and SafeForm and Instruction
Attachment 6: Heart Disease FactsForm and Instruction
Attachment 5: HAI Summary Data Reports: Questions and AnswersForm and Instruction
Attachment 4: Autism and Developmental Disabilities Monitoring Network (ADDM) Tracking Autism in Wisconsin: What You Need to KnowForm and Instruction
Attachment 3: Flu Vaccine Information for Health Care WorkersForm and Instruction
CDC Homepage Mobile & Desktop SurveyForm
CDC Homepage Mobile and DesktopForm
SurveyForm
Vital Signs SurveyForm and Instruction
Vital Signs SurveyForm and Instruction
change for 0920-0956.docx Justification for No Material/Nonsubstantive Change
Att.B_9-Before-Policymakers-Budget.pdf Supplementary Document
Att.B_2-After-Clinicians-Flu.pdf Supplementary Document
GenIC_Index Web Survey.corrected.docx Supplementary Document
Att.L Recruitment Materials.docx Supplementary Document
Att.B_16-After-Health-Departments-NVDRS.pdf Supplementary Document
Att.B_15-Before-HealthDept-NVDRS_2013.12.12.pdf Supplementary Document
Att.B_14 -After-Health-Departments-MAHC.pdf Supplementary Document
Att.B_13-Before-Health-Departments-MAHC.pdf Supplementary Document
Att.B_12- After-Policymakers-Epidemiology.pdf Supplementary Document
Att.B_11-Before-Policymakers-Epidemiology.pdf Supplementary Document
Att.B_10-After-Policymakers-Budget.pdf Supplementary Document
Att.B_8-After-Partners-Heart-Disease.pdf Supplementary Document
Att.B_7- Before-Partners-Heart-Disease.png Supplementary Document
Att.B_6-After-Partners-HAI.pdf Supplementary Document
Att.B_5- Before-Partners-HAI.png Supplementary Document
Att.B_4- After-Clinicians-Wisconsin.pdf Supplementary Document
Att.B_3-Before-Clinicians-Wisconsin.pdf Supplementary Document
Att.B_1-Before-Clinicians-Flu.pdf Supplementary Document
Att.A-Web Survey Protocol.docx Supplementary Document
E-Scenarios -CDC_STOapplication_UX_01_07_2014 - OMB.docx Supplementary Document
C-Consent Forms -CDC_STOapplication_UX_01_07_2014 - OMB.docx Supplementary Document
B-Instructions -CDC_STOapplication_UX_01_07_2014 - OMB.docx Supplementary Document
A-Protocal -CDC_STOapplication_UX_01_07_2014 - OMB.docx Supplementary Document
fast-track-PRA-submission-short-form-cdc_Solve the Outbreak iPad Usability Protocol_01_07_2014.docx Supplementary Document
D-Scenarios -CDChomepageUX121613 - OMB.docx Supplementary Document
C-Consent Forms -CDChomepageUX121013 - OMB.docx Supplementary Document
B - Instructions -CDChomepageUX121613 - OMB.docx Supplementary Document
A-PROTOCOL-CDChomepageUX121013.docx Supplementary Document
fast-track-PRA-submission-short-form-cdc-CDChomepageUX121613.docx Supplementary Document
Attachment1_CDC-Index-Click-testing-Protocol_2013.11.07.docx Supplementary Document
List of Attachments for Testing of Sample Materials Developed Using the CDC Clear Communications Index.docx Supplementary Document
GenIC_Index Click Test 2013.11.06.docx Supplementary Document
fast-track-PRA-submission-short-form-cdc homepage mobile desktop.doc Supplementary Document
Solve the Outbreak User Zoom Questions.docx Supplementary Document
Surveytemplate _SolvetheOutbreak.docx Supplementary Document
Survey1template _VitalSignsv2.docx Supplementary Document
Testing GovDelivery Form
Testing GovDelivery Form
Testing GovDelivery Form
Testing GovDelivery Form
Testing GovDelivery Form
Testing GovDelivery Form
Testing GovDelivery Form
Testing GovDelivery Form
Testing GovDelivery Form
Testing GovDelivery Form
Testing GovDelivery Form
Testing GovDelivery Form
Testing GovDelivery Form
Testing GovDelivery Form
Testing GovDelivery Form
CDC Digital Health Tools Evaluation Form
CDC Digital Health Tools Evaluation Form
Solve the Outbreak Mobile App Survey Other-WORD
CDC Spanish Homepage Survey Form
CDC Spanish Homepage Survey Form
CDC Social Media Satisfaction Survey Other-WORD
CDC Flu Site - Card Sort Form
CDC Homepage UX -- After Release Other-WORD
CDC Homepage Post-launch Survey Form
Testing Clear Communication Index Website Form
Solve the Outbreak (14GM) Form
Solve the Outbreak (14GM) Other-Screenshots
CDC Homepage UX Form
Testing of Sample Materials Developed Using the CDC Clear Communications Index Form and Instruction
Testing of Sample Materials Developed Using the CDC Clear Communications Index Form and Instruction
Testing of Sample Materials Developed Using the CDC Clear Communications Index Form and Instruction
Testing of Sample Materials Developed Using the CDC Clear Communications Index Form and Instruction
Testing of Sample Materials Developed Using the CDC Clear Communications Index Form and Instruction
Testing of Sample Materials Developed Using the CDC Clear Communications Index Form and Instruction
Testing of Sample Materials Developed Using the CDC Clear Communications Index Form and Instruction
Testing of Sample Materials Developed Using the CDC Clear Communications Index Form and Instruction
Testing of Sample Materials Developed Using the CDC Clear Communications Index Form and Instruction
CDC Homepage Mobile & Desktop Survey Form
CDC Homepage Mobile & Desktop Survey Form
Solve the Outbreak iPad Survey Form
Vital Signs Survey Form and Instruction
Vital Signs Survey Form and Instruction

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
201402-0920-015 No material or nonsubstantive change to a currently approved collection 2014-02-25 Approved without change
201303-0920-011 New collection (Request for a new OMB Control Number) 2013-03-20 Approved with change