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[OPHDST] WAI Learning Community Survey
[OADC] CDC Usability and Digital Content Testing
OMB: 0920-1050
IC ID: 273678
OMB.report
HHS/CDC
OMB 0920-1050
ICR 202505-0920-006
IC 273678
( )
Documents and Forms
Document Name
Document Type
Form 0920-25CS
[OPHDST] WAI Learning Community Survey
Form
0920-25CS WAI Learning Community Survey
Att A WAI Learning Community Survey.docx
Form
Template WAI Learning Community.docx
GenIC Request
IC Document
SSA WAI Learning Community.docx
SSA
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
[OPHDST] WAI Learning Community Survey
Agency IC Tracking Number:
0920-1050-25CS
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
0920-25CS
WAI Learning Community Survey
Att A WAI Learning Community Survey.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Workforce Management
Subfunction:
Worker Safety
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
60
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
60
0
0
0
0
60
Annual IC Time Burden (Hours)
20
0
0
0
0
20
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
GenIC Request
Template WAI Learning Community.docx
01/15/2025
SSA
SSA WAI Learning Community.docx
01/15/2025
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.