View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	Seasonal Flu: Email Updates Satisfaction Survey	Agency IC Tracking Number:	0920-1050-17BAX

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	NA	Flu Email Updates Survey	C-SURVEY QUESTIONS_Flu Email Updates_08_08_2017 (002).docx	NA	Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 100	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	100	0	100	0	0	0
Annual IC Time Burden (Hours)	8	0	8	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
Invitation Email - Flu Email Updates	B-INVITATION_Flu Email Updates_08_08_2017 (002).docx	09/05/2017
Protocol - Flu Email Updates	A-PROTOCOL_Flu Email Updates_08_08_2017 (002).docx	09/05/2017
GenIC Request - Flu Email Updates	Fast_Track_GenIC_Request_Flu Email Updates.docx	09/05/2017

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.