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Remote Survey
HHS Website Usability
OMB: 0990-0321
IC ID: 197622
OMB.report
HHS/HHSDM
OMB 0990-0321
ICR 201105-0990-003
IC 197622
( )
Documents and Forms
Document Name
Document Type
0990-0321Attachment3.pdf
Other-survey
0990-0321Attachment1.pdf
0990-0321Attachment1
IC Document
0990-0321Attachment4.pdf
0990-0321Attachment4
IC Document
0990-0321Attachment2.pdf
0990-0321Attachment2
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Remote Survey
Agency IC Tracking Number:
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
Other-survey
0990-0321Attachment3.pdf
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:
4,800
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
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
4,800
0
0
0
0
0
Annual IC Time Burden (Hours)
960
0
0
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
0990-0321Attachment1
0990-0321Attachment1.pdf
05/04/2011
0990-0321Attachment4
0990-0321Attachment4.pdf
05/04/2011
0990-0321Attachment2
0990-0321Attachment2.pdf
05/04/2011
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.