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Clinical Laboratory Partners Forum Meeting Evaluation Survey 2022
[OADC] CDC Usability and Digital Content Testing
OMB: 0920-1050
IC ID: 256766
OMB.report
HHS/CDC
OMB 0920-1050
ICR 202505-0920-006
IC 256766
( )
Documents and Forms
Document Name
Document Type
Clinical Laboratory Partners Forum Meeting Evaluation Survey 2022
Form and Instruction
CLPF Meeting Evaluation Survey
02_CLPF Meeting Evaluation Survey in Qualtrics.docx
Form and Instruction
01_Fast_Track_GenIC_Request_2022.11.30 CLPF Meeting Survey_final.docx
GenIC Request Template
IC Document
03_Invitation to participate November 30 CLPF meeting evaluation survey.docx
Invitation to Participate
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Clinical Laboratory Partners Forum Meeting Evaluation Survey 2022
Agency IC Tracking Number:
0920-1050-23AR
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
n/a
CLPF Meeting Evaluation Survey
02_CLPF Meeting Evaluation Survey in Qualtrics.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Health Care Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
40
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Not-for-profit institutions, Businesses or other for-profits
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
40
0
0
0
0
40
Annual IC Time Burden (Hours)
3
0
0
0
0
3
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
GenIC Request Template
01_Fast_Track_GenIC_Request_2022.11.30 CLPF Meeting Survey_final.docx
11/08/2022
Invitation to Participate
03_Invitation to participate November 30 CLPF meeting evaluation survey.docx
11/08/2022
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.