0920-1050 Family Health Profiles

Form approved

OMB # 0920-1050

Exp. date 06/30/2025

Attachment 2

Screenshots of

My Family Health Portrait:Cancer

Mobile Application Evaluation Question

*Note: Mockups utilize Latin placeholder text for data collection disclaimer language, as well as a sample OMB approval number and expiration date.

Android:

iOS:

Public reporting burden of this collection of information is estimated to average ½ minute (30 seconds) per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to CDC/ATSDR Reports Clearance Officer; 1600 Clifton Road NE, MS D-74, Atlanta, Georgia 30333; ATTN: PRA (0920-1050).