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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
CPPW Resource Center Feedback Assessment and IMATS Assessment
Agency IC Tracking Number:
IC Status:
New
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
none
CPPW Web Survey
Attachment D_CPPW Data Collection Instrument (Online).docx
Yes
Yes
Fillable Fileable
Form
none
IMATS Web Survey
Attachment F IMATS Data Collection Instrument-Web Version.docx
Yes
No
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Immunization Management
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
414
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
100 %
Approved
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
414
0
0
0
0
0
Annual IC Time Burden (Hours)
138
0
0
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
CPPW Initial Email with Instructions
Attachment E_CPPW Initial Email with Instructions.docx
07/30/2012
CPPW Survey Word Version
Attachment C_CPPW Data Collection Instrument (Word).docx
07/30/2012
CPPW Reminder Email
Attachment F_CPPW Reminder email.docx
07/30/2012
CPPW Final Email
Attachment G_CPPW Final Reminder email.docx
07/30/2012
CPPW Resource Center Screen Shots
Attachment A_CPPW Online Resource Center Screen Shots.docx
07/30/2012
CPPW Resource Center Guide
Attachment B_CPPW Resource Center Guide.pdf
07/30/2012
CPPW Supporting Statement Part A
CPPW_Supporting Statement A.docx
07/30/2012
CPPW Supporting Statement Part B
CPPW_Supporting Statement B.docx
07/30/2012
IMATS Survey Word Version
Attachment G IMATS Data Collection Instrument-Word Version.docx
07/30/2012
IMATS Introductory Email
Attachment H IMATS Introductory Email.docx
07/30/2012
IMATS Reminder Email
Attachment I IMATS Reminder Email.docx
07/30/2012
IMATS Followup Email
Attachment J IMATS Followup Email.docx
07/30/2012
CTS Brochure
Attachment A CTS Brochure.pdf
07/30/2012
CTS Poster
Attachment B CTS Poster.pdf
07/30/2012
IMATS - Argile Methodology
Attachment C IMATS Agile Methodolody.docx
07/30/2012
IMATS - Application Screenshots
Attachment D IMATS Application Screenshots.docx
07/30/2012
IMATS - Implementation Map
Attachment E IMATS Implementation Map.docx
07/30/2012
IMATS Supporting Statement Part B
IMATS Supporting Statement Part B.docx
07/31/2012
IMATS Supporting Statement Part A
IMATS Supporting Statement Part A.docx
07/31/2012
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.