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View Information Collection (IC)
View Information Collection (IC)
IC Title:
[NCBDDD](genIC) Feedback Survey for Community Counts Data Viz Tool
Agency IC Tracking Number:
0920-1154-24IE
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
0920-1154
Feedback Survey for Community Counts Data Viz Tool
Att1_(genIC) Screenshots of CC Data Viz Feedback Survey_08092024.docx
: https://www.cdc.gov/hemophilia-community-counts/php/training/community-counts-data-visualization-tool-feedback-survey.html
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:
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)
5
0
5
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Request for Approval genIC "Feedback Survey for Community Counts Data Viz Tool" (24IE)
(genIC)_Request for Approval CC Data Viz_08092024.docx
08/16/2024
genIC SSA (24IE)
(genIC) Community Counts Data Viz SSA_08092024.docx
08/16/2024
genIC SSB (24IE)
(genIC) Community Counts Data Viz SSB_08092024.docx
08/16/2024
XC Regulatory Review (24IE)
XC Regulatory review.docx
08/16/2024
IRB Determination (24IE)
genIC_IRB Determination CC Data Viz_08122024.pdf
08/16/2024
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.