[OPHDST] : eCR Viewer Data Integration Building Blocks (DIBBs) Online Survey

[OADC] CDC Usability and Digital Content Testing

OMB: 0920-1050

IC ID: 268247

Documents and Forms
Document Name
Document Type
Form
Form
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

[OPHDST] : eCR Viewer Data Integration Building Blocks (DIBBs) Online Survey 0920-0879-24GF
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 0920-1050 eCR Viewer (DIBBs) Online Survey via Touchpoints Attachment A - eCR Viewer Touchpoints Intercept Request.docx Yes Yes Fillable Fileable

Health Public Health Monitoring

 

200 0
   
State, Local, and Tribal Governments
 
   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 200 0 0 0 0 200
Annual IC Time Burden (Hours) 7 0 0 0 0 7
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Request for Approval under the “Generic Clearance for the Collection of Routine Customer Feedback” (OMB Control Number: 0920-1050) 0920-1050 GenIC eCR Viewer Online Survey.docx 06/05/2024
SSA SSA_0920-1050_eCR Viewer Touchpoints Intercept.docx 06/04/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
© 2025 OMB.report | Privacy Policy