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PHDI Geotagging Beta Survey
[OADC] CDC Usability and Digital Content Testing
OMB: 0920-1050
IC ID: 256203
OMB.report
HHS/CDC
OMB 0920-1050
ICR 202505-0920-006
IC 256203
( )
Documents and Forms
Document Name
Document Type
Form 0920-1050
PHDI Geotagging Beta Survey
Form
0920-1050 Screener & Geotagging Beta Survey
Attachment A - PHDI Geotagging Beta PRA request.docx
Form
0920-1050 Customer Service GenIC Clearance Beta Survey 09282022.docx
Request for Approval
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
PHDI Geotagging Beta Survey
Agency IC Tracking Number:
0920-1050-22JG
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
0920-1050
Screener & Geotagging Beta Survey
Attachment A - PHDI Geotagging Beta PRA request.docx
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:
64
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
64
0
0
0
0
64
Annual IC Time Burden (Hours)
16
0
0
0
0
16
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Request for Approval
0920-1050 Customer Service GenIC Clearance Beta Survey 09282022.docx
09/29/2022
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
