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[NCCDPHP] US Cancer Statistics Data Visualizations Tool -Government Sector
[OADC] CDC Usability and Digital Content Testing
OMB: 0920-1050
IC ID: 261137
OMB.report
HHS/CDC
OMB 0920-1050
ICR 202505-0920-006
IC 261137
( )
Documents and Forms
Document Name
Document Type
Form 0920-1050-23GI
[NCCDPHP] US Cancer Statistics Data Visualizations Tool -Government Sector
Form and Instruction
0920-1050-23GI USCS _GOV SECTOR
Customer Service GenIC Clearance_USCS-DataViz_SLT-gvt_Attachment-2.docx
Form and Instruction
DCPC1050 Form- gvt.docx
Request for Approval
IC Document
0920-1050_Supporting Statement A_USCS-DataViz_SLT-gvt.docx
SSA
IC Document
DCPC1050 Form-Gvt_v2.docx
DCPC1050 Form-Gvt_v2
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
[NCCDPHP] US Cancer Statistics Data Visualizations Tool -Government Sector
Agency IC Tracking Number:
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
0920-1050-23GI
USCS _GOV SECTOR
Customer Service GenIC Clearance_USCS-DataViz_SLT-gvt_Attachment-2.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:
86
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
86
0
0
0
0
86
Annual IC Time Burden (Hours)
31
0
0
0
0
31
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Request for Approval
DCPC1050 Form- gvt.docx
07/28/2023
SSA
0920-1050_Supporting Statement A_USCS-DataViz_SLT-gvt.docx
07/28/2023
DCPC1050 Form-Gvt_v2
DCPC1050 Form-Gvt_v2.docx
09/28/2023
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.