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[NCCDPHP] Prevention Research Centers (PRC) Program Technical Assistance Feedback Survey
[OADC] CDC Usability and Digital Content Testing
OMB: 0920-1050
IC ID: 261459
OMB.report
HHS/CDC
OMB 0920-1050
ICR 202505-0920-006
IC 261459
( )
Documents and Forms
Document Name
Document Type
[NCCDPHP] Prevention Research Centers (PRC) Program Technical Assistance Feedback Survey
Form and Instruction
Survey Instrument CDC Team
Survey Instrument_0920-1050 GenIC.docx
Form and Instruction
Survey Instrument CDC PRC Program Team
TA Feedback Survey Instrument_0920-1050 GenIC.docx
Form and Instruction
0920-1050_Customer_Service_GenIC_Technical Assistance Feedback.docx
GenIC Request Template
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
[NCCDPHP] Prevention Research Centers (PRC) Program Technical Assistance Feedback Survey
Agency IC Tracking Number:
0920-1050-23HH
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
Survey Instrument CDC Team
Survey Instrument_0920-1050 GenIC.docx
Yes
Yes
Fillable Fileable
Form and Instruction
n/a
Survey Instrument CDC PRC Program Team
TA Feedback Survey Instrument_0920-1050 GenIC.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:
160
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
160
0
0
0
0
160
Annual IC Time Burden (Hours)
40
0
0
0
0
40
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
GenIC Request Template
0920-1050_Customer_Service_GenIC_Technical Assistance Feedback.docx
08/03/2023
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.