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[CPR] eFSAP information System Survey
[OADC] CDC Usability and Digital Content Testing
OMB: 0920-1050
IC ID: 266360
OMB.report
HHS/CDC
OMB 0920-1050
ICR 202505-0920-006
IC 266360
( )
Documents and Forms
Document Name
Document Type
Form 0920-1050-2ED
[CPR] eFSAP information System Survey
Form and Instruction
0920-1050-2ED eFSAP Survey
AttA-eFSAP Survey.docx
Form and Instruction
ORR-0920-1050 GenIC Request.docx
GenIC Request
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
[CPR] eFSAP information System Survey
Agency IC Tracking Number:
0920-1050-24ED
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
0920-1050-2ED
eFSAP Survey
AttA-eFSAP Survey.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:
750
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
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
750
0
0
0
0
750
Annual IC Time Burden (Hours)
188
0
0
0
0
188
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
GenIC Request
ORR-0920-1050 GenIC Request.docx
03/28/2024
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.