National Center for HIV/AIDS, Viral Hepatitis, STD and TB Prevention (NCHHSTP) Usability Study

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⚠️ Notice: This information collection may be referencing outdated material.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
National Center for HIV/AIDS, Viral Hepatitis, STD and TB Prevention (NCHHSTP) Usability Study Form and Instruction
National Center for HIV/AIDS, Viral Hepatitis, STD and T Att1_ ScreenshotstNCHHSTPUsabilityTestQuest.docx Form and Instruction
RequestTemplate NCHHSTP Website Redesign.docx GenIC Request IC Document
Survey Service DeliveryChecklist.docx GenIC Checiklist IC Document

Information Collection (IC) Details

IC Title:	National Center for HIV/AIDS, Viral Hepatitis, STD and TB Prevention (NCHHSTP) Usability Study	Agency IC Tracking Number:	16ZT

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	NA	National Center for HIV/AIDS, Viral Hepatitis, STD and TB Prevention (NCHHSTP) Usability Study	Att1_ ScreenshotstNCHHSTPUsabilityTestQuest.docx	NA	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 200	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	200	200
Annual IC Time Burden (Hours)	100	100
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
GenIC Request	RequestTemplate NCHHSTP Website Redesign.docx	04/04/2016
GenIC Checiklist	Survey Service DeliveryChecklist.docx	04/04/2016

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