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[NCCDPHP] User Feedback – U.S. Cancer Statistics Public Use Databases – State Health Department
[OADC] CDC Usability and Digital Content Testing
OMB: 0920-1050
IC ID: 265901
OMB.report
HHS/CDC
OMB 0920-1050
ICR 202505-0920-006
IC 265901
( )
Documents and Forms
Document Name
Document Type
[NCCDPHP] User Feedback – U.S. Cancer Statistics Public Use Databases – State Health Department
Form and Instruction
Focus Group Interview Guide
Customer Service GenIC Clearance_USCS-Public-Use-DB_SLT-gvt-FG_Att-2.docx
Form and Instruction
Personal Interview Guide
Customer Service GenIC Clearance_USCS-Public-Use-DB_SLT-gvt-intrvw_Att-2.docx
Form and Instruction
Customer Service GenIC Clearance_USCS-Public-Use-DB_SLT-gvt-FG_Att-1.docx
Focus Group Email Invite
IC Document
Customer Service GenIC Clearance_USCS-Public-Use-DB_SLT-gvt-intrvw_Att-1.docx
Personal Interview Email Invite
IC Document
DCPC1050 Form_USCS_Public-Use-DB_SLT-gvt.docx
GenIC Request Template
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
[NCCDPHP] User Feedback – U.S. Cancer Statistics Public Use Databases – State Health Department
Agency IC Tracking Number:
0920-1050-24DP
IC Status:
Unchanged
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
Focus Group Interview Guide
Customer Service GenIC Clearance_USCS-Public-Use-DB_SLT-gvt-FG_Att-2.docx
Yes
Yes
Fillable Fileable
Form and Instruction
n/a
Personal Interview Guide
Customer Service GenIC Clearance_USCS-Public-Use-DB_SLT-gvt-intrvw_Att-2.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:
30
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
100 %
Requested
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
30
0
0
0
0
30
Annual IC Time Burden (Hours)
30
0
0
0
0
30
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Focus Group Email Invite
Customer Service GenIC Clearance_USCS-Public-Use-DB_SLT-gvt-FG_Att-1.docx
03/11/2024
Personal Interview Email Invite
Customer Service GenIC Clearance_USCS-Public-Use-DB_SLT-gvt-intrvw_Att-1.docx
03/11/2024
GenIC Request Template
DCPC1050 Form_USCS_Public-Use-DB_SLT-gvt.docx
03/11/2024
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.