CDC Division of STD Prevention Twitter Evaluation

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (NCHHSTP)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1027 can be found here:

Documents and Forms

Document Name Document Type
CDC Division of STD Prevention Twitter Evaluation Form
Division of STD Prevention Twitter Survey CDCSTD Twitter Evaluation Survey Instrument (3).pdf Form
@CDCSTD Evaluation_FastTrackSubmission ShortForm.docx Request for Approval - Revised IC Document

Information Collection (IC) Details

IC Title:	CDC Division of STD Prevention Twitter Evaluation	Agency IC Tracking Number:	14AEG

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	None	Division of STD Prevention Twitter Survey	CDCSTD Twitter Evaluation Survey Instrument (3).pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 250	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	250	250
Annual IC Time Burden (Hours)	42	42
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Request for Approval - Revised	@CDCSTD Evaluation_FastTrackSubmission ShortForm.docx	09/03/2014

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