View Information Collection (IC)
Skip to main content
An official website of the United States government
The .gov means it's official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you're on a federal government site.
The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.
Search:
Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Digital Media Testing and Copy Testing for Terrie Hall Rough Cuts
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 and Instruction
None
Digital Media Testing for Rough Cuts Screener
Att 1a. SCREENER 11082013 v5.0 (Screen Shots).pdf
Yes
Yes
Fillable Fileable
Form and Instruction
None
Digital Media Testing and Copy Testing for Terrie Hall Rough Cuts--Main Questionnaire
Att 1b. MAIN 11082013 v5.0 (Screen Shots).pdf
Yes
Yes
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:
4,025
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
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
4,025
0
0
0
0
0
Annual IC Time Burden (Hours)
1,060
0
0
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Att 1a
Att 1a. Screener - Terrie Hall Rough Cut Tests_111513.docx
11/15/2013
Att 1b
Att 1b. Main Quex - Terrie Hall Rough Cut Tests.docx
11/15/2013
Att 2
Att 2. Email Recruit Terrie Hall Rough Cut Tests.docx
11/15/2013
Att 3
Att 3. Privacy Policy Terrie Hall Rough Cut Tests.docx
11/15/2013
Att 4
Att 4. Terms and Conditions Terrie Hall Rough Cut Tests.docx
11/15/2013
Att 5
Att 5. Statement by CDC Director.pdf
11/15/2013
0920-0910_IC_Part B_Terrie Hall Rough Cut Tests_112013
0920-0910_IC_Part B_Terrie Hall Rough Cut Tests_112013.doc.docx
11/20/2013
0920-0910_IC_Part A_Terrie Hall Rough Cut Tests_112013
0920-0910_IC_Part A_Terrie Hall Rough Cut Tests_112013.doc.docx
11/20/2013
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.