View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	App and Web Usability Study for CDC's STD Treatment Guidelines	Agency IC Tracking Number:	0920-1050-19AUQ

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	0920-1050	User Testing Questions for STD Tx Guide Mobile App and Website	Attachment_A_Testing_Script.docx	NA	No		Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 45	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 50 %

	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	45	0	45	0	0	0
Annual IC Time Burden (Hours)	23	0	23	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
Recruitment Method	Attachment_B_Recruitment_Method.docx	05/20/2019
Participant Information Sheet	Attachment_C_Participant_Information_Sheet.docx	05/20/2019
GenIC Request	GenIC Request Form_CDC App Web Usability Revised 24MAY2019.pdf	05/28/2019

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