View Information Collection (IC)
View Information Collection (IC)

View Information Collection (IC)

CDC Zika Website 16ATN
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction NA CDC Zika website User Experience (UX): Questionnaire D-Questionnaire - OMB.docx NA No   Paper Only
Form and Instruction NA ZIKA USABILITY TEST: NOTETAKING DOCUMENT H-Usability Test Plan_Notetaking Doc.docx NA Yes Yes Paper Only

Health Consumer Health and Safety

 

50 0
   
Individuals or Households
 
   0 %

  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 50 0 50 0 0 0
Annual IC Time Burden (Hours) 50 0 50 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
CDC Zika Website Protocol 06SEP2016 A-Protocal -CDC_ZikaWeb_UX_06_24_16-OMB.docx 09/06/2016
CDC Zika Website Consent Form 06SEP2016 B-ConsentForm_Zika_UX.docx 09/06/2016
CDC Zika Website Facilitator Introduction/Instructions 06SEP2016 C-Instructions -CDCZikaUX - OMB.docx 09/06/2016
CDC Zika Website Participant Scenarios - Men 06SEP2016 E-Participant Scenarios_Men.docx 09/06/2016
CDC Zika Website Participant Scenarios - Women 06SEP2016 F-Participant Scenarios_Women.docx 09/06/2016
CDC Zika Website Participant Scenarios - HealthCare Providers 06SEP2016 G-Participant Scenarios_For specific Audiences.docx 09/06/2016
CDC Zika Website Screenshots 06SEP2016 K - Zika Website Screenshots.docx 09/06/2016
List of Attachments 06SEP2016 List of Attachments-CDCZikaUX0616 (002).docx 09/06/2016
Fast Track GenIC Request J-fast-track-PRA-submission-short-form-cdc_zika_Usability Protocol.docx 09/08/2016
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.