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[OADC] CDC Flu Usability Testing
[OADC] CDC Usability and Digital Content Testing
OMB: 0920-1050
IC ID: 265638
OMB.report
HHS/CDC
OMB 0920-1050
ICR 202505-0920-006
IC 265638
( )
Documents and Forms
Document Name
Document Type
Form 0920-1050
[OADC] CDC Flu Usability Testing
Form and Instruction
0920-1050 CDC Flu Usability Survey
F - Activities - CDC-UsabilityTesting-2024 - FLU.docx
Form and Instruction
C-Testing Plan - CDC-UsabilityTesting-2024 - FLU.docx
Testing Plan
IC Document
D - Instructions - CDC-UsabilityTesting-2024 - FLU.docx
Instructions
IC Document
E - Consent Forms - CDC-UsabilityTesting-2024 - FLU.docx
Consent Forms
IC Document
A-fast-track-PRA-submission-short-form - CDC-UsabilityTesting-2024 - FLU.docx
GenIC Request Template 0920-1050
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
[OADC] CDC Flu Usability Testing
Agency IC Tracking Number:
0920-1050-24DY
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
CDC Flu Usability Survey
F - Activities - CDC-UsabilityTesting-2024 - FLU.docx
N/A
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:
60
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
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
60
0
0
0
0
60
Annual IC Time Burden (Hours)
20
0
0
0
0
20
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Testing Plan
C-Testing Plan - CDC-UsabilityTesting-2024 - FLU.docx
02/27/2024
Instructions
D - Instructions - CDC-UsabilityTesting-2024 - FLU.docx
02/27/2024
Consent Forms
E - Consent Forms - CDC-UsabilityTesting-2024 - FLU.docx
02/27/2024
GenIC Request Template 0920-1050
A-fast-track-PRA-submission-short-form - CDC-UsabilityTesting-2024 - FLU.docx
02/27/2024
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.