OMB
.report
Search
[OPHDST] ReportStream Usability Survey
[OADC] CDC Usability and Digital Content Testing
OMB: 0920-1050
IC ID: 267240
OMB.report
HHS/CDC
OMB 0920-1050
ICR 202505-0920-006
IC 267240
( )
Documents and Forms
Document Name
Document Type
Form 0920-1050
[OPHDST] ReportStream Usability Survey
Form and Instruction
0920-1050 ReportStream Usability Survey
Attachment A - ReportStream Usability Survey 04242024.docx
Form and Instruction
0920-1050 Template ReportStream Usability Survey 04242024.docx
0920-1050 GenIC Request Template
IC Document
SSA_0920-1050_ReportStream Usability Survey 04242024.docx
SSA Requirement Template 0920-1050
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
[OPHDST] ReportStream Usability Survey
Agency IC Tracking Number:
0920-1050-24FF
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
ReportStream Usability Survey
Attachment A - ReportStream Usability Survey 04242024.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:
40
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
40
0
0
0
0
40
Annual IC Time Burden (Hours)
7
0
0
0
0
7
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
0920-1050 GenIC Request Template
0920-1050 Template ReportStream Usability Survey 04242024.docx
04/26/2024
SSA Requirement Template 0920-1050
SSA_0920-1050_ReportStream Usability Survey 04242024.docx
04/26/2024
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.