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[NCCDPHP] 2024 Evaluators' Network, Member Survey
[OADC] CDC Usability and Digital Content Testing
OMB: 0920-1050
IC ID: 267516
OMB.report
HHS/CDC
OMB 0920-1050
ICR 202505-0920-006
IC 267516
( )
Documents and Forms
Document Name
Document Type
[NCCDPHP] 2024 Evaluators' Network, Member Survey
Form and Instruction
2024 Evaluator Network Survey
2024 Evaluator Network Survey 05072024.pdf
Form and Instruction
0920-1050_Customer_Service_GenIC_Clearance_OSH_Evaluators Network_5.7.24.pdf
GenIC Request Template
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
[NCCDPHP] 2024 Evaluators' Network, Member Survey
Agency IC Tracking Number:
0920-1050-24FP
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
2024 Evaluator Network Survey
2024 Evaluator Network Survey 05072024.pdf
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:
187
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
187
0
0
0
0
187
Annual IC Time Burden (Hours)
31
0
0
0
0
31
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_Clearance_OSH_Evaluators Network_5.7.24.pdf
05/08/2024
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.