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[OPHDST] eICR Data Project
[OADC] CDC Usability and Digital Content Testing
OMB: 0920-1050
IC ID: 273059
OMB.report
HHS/CDC
OMB 0920-1050
ICR 202505-0920-006
IC 273059
( )
Documents and Forms
Document Name
Document Type
Form 0920-25BW
[OPHDST] eICR Data Project
Form
0920-25BW CDC eICR Data Project - Discussion Guide
CDC eICR Data Project - Discussion Guide.docx
Form
0920-1050 eICR data project.docx
GenIC Request
IC Document
CDC eICR Data Project - Participant Recruiting.docx
CDC eICR Data Project - Participant Recruiting
IC Document
SSA New Requirements- eICR data project.docx
SSA
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
[OPHDST] eICR Data Project
Agency IC Tracking Number:
0920-25BW
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
0920-25BW
CDC eICR Data Project - Discussion Guide
CDC eICR Data Project - Discussion Guide.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:
15
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
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
15
0
0
0
0
15
Annual IC Time Burden (Hours)
15
0
0
0
0
15
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
GenIC Request
0920-1050 eICR data project.docx
12/16/2024
CDC eICR Data Project - Participant Recruiting
CDC eICR Data Project - Participant Recruiting.docx
12/16/2024
SSA
SSA New Requirements- eICR data project.docx
12/16/2024
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.