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Improving Services of Vaccination Rate Tracking among People Experiencing Homelessness (PEH)
[OADC] CDC Usability and Digital Content Testing
OMB: 0920-1050
IC ID: 263683
OMB.report
HHS/CDC
OMB 0920-1050
ICR 202505-0920-006
IC 263683
( )
Documents and Forms
Document Name
Document Type
Form 0920-1050
Improving Services of Vaccination Rate Tracking among People Experiencing Homelessness (PEH)
Form and Instruction
0920-1050 Semi-Structured Discussion Guides - Improving Services o
0920-1050 HMIS IIS Discussion Guides.docx
Form and Instruction
0920-1050 HMIS IIS Recruitment.docx
Recruitment / Email Templates
IC Document
0920-1050 HMIS IIS SSA New Requirements.docx
SSA Requirement Template
IC Document
0920-1050 HMIS IIS Template.docx
GenIC Request Template 0920-1050
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Improving Services of Vaccination Rate Tracking among People Experiencing Homelessness (PEH)
Agency IC Tracking Number:
0920-1050
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
Semi-Structured Discussion Guides - Improving Services of Vaccination Rate Tracking
0920-1050 HMIS IIS Discussion Guides.docx
N/A
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:
68
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
68
0
0
0
0
68
Annual IC Time Burden (Hours)
68
0
0
0
0
68
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Recruitment / Email Templates
0920-1050 HMIS IIS Recruitment.docx
11/27/2023
SSA Requirement Template
0920-1050 HMIS IIS SSA New Requirements.docx
11/27/2023
GenIC Request Template 0920-1050
0920-1050 HMIS IIS Template.docx
11/27/2023
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.