Clinical Practice Guideline Outreach and Communication Materials Feedback

[OADC] CDC Usability and Digital Content Testing

Documents and Forms

Document Name Document Type
Form 0920-1050 Clinical Practice Guideline Outreach and Communication Materials Feedback Form and Instruction
0920-1050 Clinical Practice Guideline Outreach and Communication M Att.2_Clinical_Practice_Guideline_Materials_Feedback_Survey.docx Form and Instruction
Request_OMB1050_GenIC_Clinical_Practice_Guideline_Materials_Feedback_FINAL.docx Request for Approval under the “Generic Clearance for the Collection of Routine Customer Feedback” (OMB Control Number: 0920-105 IC Document
Att.3_ScreenS_Clinical_Practice_Guideline_Materials_Feedback_SurveyMonkey.docx Clinical Practice Guideline Outreach and Communication Materials Feedback Survey Monkey screenshot IC Document

Information Collection (IC) Details

IC Title:	Clinical Practice Guideline Outreach and Communication Materials Feedback	Agency IC Tracking Number:	0920-1050-23HA

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
Form and Instruction	0920-1050	Clinical Practice Guideline Outreach and Communication Materials Feedback	Att.2_Clinical_Practice_Guideline_Materials_Feedback_Survey.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 16	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Previously Approved
Annual Number of Responses for this IC	16	16
Annual IC Time Burden (Hours)	4	4
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Request for Approval under the “Generic Clearance for the Collection of Routine Customer Feedback” (OMB Control Number: 0920-1050)	Request_OMB1050_GenIC_Clinical_Practice_Guideline_Materials_Feedback_FINAL.docx	07/28/2023
Clinical Practice Guideline Outreach and Communication Materials Feedback Survey Monkey screenshot	Att.3_ScreenS_Clinical_Practice_Guideline_Materials_Feedback_SurveyMonkey.docx	07/28/2023

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