View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	[OD] Focus Groups to Identify Customers' Pain Points and Opportunities in Collecting, Managing, and Using Data – to Inform the Design of Building Blocks	Agency IC Tracking Number:	0920-1050-23FD

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	n/a	Universal Engagement Panel Screener	Attachment A - Universal Engagement Panel Screener PRA request.docx		Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 500	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	500	0	500	0	0	0
Annual IC Time Burden (Hours)	83	0	83	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
GenIC Request Template	0920-1050 Customer Service GenIC Clearance Panel Recruitment Screener_final.docx	05/15/2023

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