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

View Information Collection (IC)

Usability Survey 0920-24CB
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 0920-24CB Usability Survey_Online_English Attachment 08h_Usability Survey_Online_English.docx Yes Yes Fillable Fileable
Form 0920-24CB Usability Survey_Online_Spanish Attachment 08i_Usability Survey_Online_Spanish.docx Yes Yes Fillable Fileable

Health Illness Prevention

 

300 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 300 0 300 0 0 0
Annual IC Time Burden (Hours) 90 0 90 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Usability Survey_Pre-Notification Email_English Attachment 08a_Usability Survey_Pre-Notification Email_English.docx 08/02/2024
Usability Survey_Pre-Notification Email_Spanish Attachment 08b_Usability Survey_Pre-Notification Email_Spanish.docx 08/02/2024
Usability Survey_Email with Survey Link_English Attachment 08c_Usability Survey_Email with Survey Link_English.docx 08/02/2024
Usability Survey_Email with Survey Link_Spanish Attachment 08d_Usability Survey_Email with Survey Link_Spanish.docx 08/02/2024
Usability Survey_Consent Statement_English Attachment 08e_Usability Survey_Consent Statement_English.docx 08/02/2024
Usability Survey_Paper_English Attachment 08g_Usability Survey_Paper_English.docx 08/02/2024
Usability Survey_Reminder Email_English Attachment 08j_Usability Survey_Reminder Email_English.docx 08/02/2024
Usability Survey_Online_Spanish Attachment 08i_Usability Survey_Online_Spanish.docx 08/02/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.