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Identifying customers' pain points and opportunities to collect, manage, and use data to inform the design of shared services between CDC and state, territorial, and local ph authoriities
[OADC] CDC Usability and Digital Content Testing
OMB: 0920-1050
IC ID: 258374
OMB.report
HHS/CDC
OMB 0920-1050
ICR 202505-0920-006
IC 258374
( )
Documents and Forms
Document Name
Document Type
Attachment A - CDCF PRA request_final.docx
Instruction
Question Pool for CDC Foundation
Attachment B Questions for CDC-F.pdf
Form and Instruction
0920-1050 Customer Service GenIC Clearance CDCF 013123_final.docx
GenIC Request Template
IC Document
OMB Information.docx
OMB Control Header and Burden Statement
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Identifying customers' pain points and opportunities to collect, manage, and use data to inform the design of shared services between CDC and state, territorial, and local ph authoriities
Agency IC Tracking Number:
0920-1050-23CN
IC Status:
Unchanged
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Instruction
Attachment A - CDCF PRA request_final.docx
Yes
Yes
Fillable Fileable
Form and Instruction
n/a
Question Pool for CDC Foundation
Attachment B Questions for CDC-F.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Public Health Monitoring
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
300
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
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
300
0
0
0
0
300
Annual IC Time Burden (Hours)
300
0
0
0
0
300
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
GenIC Request Template
0920-1050 Customer Service GenIC Clearance CDCF 013123_final.docx
02/07/2023
OMB Control Header and Burden Statement
OMB Information.docx
02/07/2023
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.