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[OS] SimpleReport Touchpoint Surveys v2
[OADC] CDC Usability and Digital Content Testing
OMB: 0920-1050
IC ID: 260603
OMB.report
HHS/CDC
OMB 0920-1050
ICR 202505-0920-006
IC 260603
( )
Documents and Forms
Document Name
Document Type
Form 0920-1050
[OS] SimpleReport Touchpoint Surveys v2
Form and Instruction
0920-1050 SimpleReport Website_Web Application Survey
5_2023_SimpleReport Touchpoints online surveys.docx
Form and Instruction
2023 renewal_0920-1050_Customer_Service_GenIC_Clearance_SimpleReport online surveys.docx
GenIC Request Template 0920-1050
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
[OS] SimpleReport Touchpoint Surveys v2
Agency IC Tracking Number:
0920-1050-23FU
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
SimpleReport Website_Web Application Survey
5_2023_SimpleReport Touchpoints online surveys.docx
NA
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Consumer Health and Safety
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
200
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits, Not-for-profit institutions
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
200
0
0
0
0
200
Annual IC Time Burden (Hours)
7
0
0
0
0
7
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
GenIC Request Template 0920-1050
2023 renewal_0920-1050_Customer_Service_GenIC_Clearance_SimpleReport online surveys.docx
06/09/2023
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.