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[OADC] CDC-INFO Web-based Satisfaction Survey
[OADC] CDC Usability and Digital Content Testing
OMB: 0920-1050
IC ID: 274472
OMB.report
HHS/CDC
OMB 0920-1050
ICR 202505-0920-006
IC 274472
( )
Documents and Forms
Document Name
Document Type
Form 0920-25-0011
[OADC] CDC-INFO Web-based Satisfaction Survey
Form
0920-25-0011 2025 CDC-INFO Email Survey ENGLISH
2025 CDC-INFO Email Survey ENGLISH.docx
Form
0920-25-0011 2025 CDC-INFO Email Survey SPANISH
2025 CDC-INFO Email Survey SPANISH.docx
Form
CDC-INFO_Email_SPANISH_Survey Monkey Screenshot_Image 1.PNG
CDC-INFO_Email_SPANISH_Survey Monkey Screenshot_Image 1
IC Document
CDC-INFO_Email_SPANISH_Survey Monkey Screenshot_Image 2.PNG
CDC-INFO_Email_SPANISH_Survey Monkey Screenshot_Image 2
IC Document
CDC-INFO_Email_SPANISH_Survey Monkey Screenshot_Image 3.PNG
CDC-INFO_Email_SPANISH_Survey Monkey Screenshot_Image 3
IC Document
CDC-INFO_Email_Survey Monkey Screenshot_Image 1.PNG
CDC-INFO_Email_Survey Monkey Screenshot_Image 1
IC Document
CDC-INFO_Email_Survey Monkey Screenshot_Image 3.PNG
CDC-INFO_Email_Survey Monkey Screenshot_Image 3
IC Document
Generic Clearance Submission Template_10-2025_Email Survey_Individual Respondents.docx
Generic Clearance Submission Template_10-2025_Email Survey_Individual Respondents
IC Document
Generic Clearance Submission Template_10-2025_Email Survey_Private Sector Respondents.docx
Generic Clearance Submission Template_10-2025_Email Survey_Private Sector Respondents
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
[OADC] CDC-INFO Web-based Satisfaction Survey
Agency IC Tracking Number:
0920-25-0011
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
0920-25-0011
2025 CDC-INFO Email Survey ENGLISH
2025 CDC-INFO Email Survey ENGLISH.docx
Yes
Yes
Fillable Fileable
Form
0920-25-0011
2025 CDC-INFO Email Survey SPANISH
2025 CDC-INFO Email Survey SPANISH.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Health Care Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
1,600
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
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
1,600
0
0
0
0
1,600
Annual IC Time Burden (Hours)
80
0
0
0
0
80
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
CDC-INFO_Email_SPANISH_Survey Monkey Screenshot_Image 1
CDC-INFO_Email_SPANISH_Survey Monkey Screenshot_Image 1.PNG
03/19/2025
CDC-INFO_Email_SPANISH_Survey Monkey Screenshot_Image 2
CDC-INFO_Email_SPANISH_Survey Monkey Screenshot_Image 2.PNG
03/19/2025
CDC-INFO_Email_SPANISH_Survey Monkey Screenshot_Image 3
CDC-INFO_Email_SPANISH_Survey Monkey Screenshot_Image 3.PNG
03/19/2025
CDC-INFO_Email_Survey Monkey Screenshot_Image 1
CDC-INFO_Email_Survey Monkey Screenshot_Image 1.PNG
03/19/2025
CDC-INFO_Email_Survey Monkey Screenshot_Image 3
CDC-INFO_Email_Survey Monkey Screenshot_Image 3.PNG
03/19/2025
Generic Clearance Submission Template_10-2025_Email Survey_Individual Respondents
Generic Clearance Submission Template_10-2025_Email Survey_Individual Respondents.docx
03/19/2025
Generic Clearance Submission Template_10-2025_Email Survey_Private Sector Respondents
Generic Clearance Submission Template_10-2025_Email Survey_Private Sector Respondents.docx
03/19/2025
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.