Usability and Needs Assessment of CDC's State, Tribal, Local, and Territorial Gateway Website

Information Collections to Advance State, Tribal, Local and Territorial (STLT) Governmental Agency System Performance, Capacity, and Program Delivery

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0879 can be found here:

Documents and Forms

Document Name Document Type
Attachment B Questionnaire Information Collection Instrument MS Word Version.docx Other-Reference document: WORD versi
Attachment D Card Sorting Information Collection Instrument MS Word Version.docx Other-Reference document: WORD versi
STLT Gateway Website Assessment Questionnaire Attachment C Questionnaire Information Collection Instrument Web Version.docx Form and Instruction
Card Sorting Assessment Instrument for the STLT Gateway Attachment E Card Sorting Information Collection Instrument.pdf Form and Instruction
UX-OSTLTS-SSA.docx Supporting Statement Part A IC Document
UX-OSTLTS-SSB.docx Supporting Statement Part B IC Document
Attachment A STLT Gateway Screenshot.pdf Screenshot of the STLT Gateway IC Document
Attachment F Calculating Average Hourly Wages for STLT Health Professional Respondent Burden (for Table A-12).docx Method Used to Estimate Average Hourly Wage IC Document
Attachment G Questionnaire Invitation.docx Questionnaire Invitation IC Document
Attachment H Questionnaire Reminder.docx Questionnaire Reminder IC Document
Attachment I Card Sorting Invitation.docx Card Sorting Invitation IC Document
Attachment J Card Sorting Reminder.docx Card Sorting Reminder IC Document

Information Collection (IC) Details

IC Title:	Usability and Needs Assessment of CDC's State, Tribal, Local, and Territorial Gateway Website	Agency IC Tracking Number:	0920-18CH

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Reference document: WORD version of Web Quesionnaire Content			Attachment B Questionnaire Information Collection Instrument MS Word Version.docx	No		Paper Only
Form and Instruction	n/a	Card Sorting Assessment Instrument for the STLT Gateway	Attachment E Card Sorting Information Collection Instrument.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	n/a	STLT Gateway Website Assessment Questionnaire	Attachment C Questionnaire Information Collection Instrument Web Version.docx	Yes	Yes	Fillable Fileable
Other-Reference document: WORD version of Card Sorting Instrument Content			Attachment D Card Sorting Information Collection Instrument MS Word Version.docx	No		Paper Only

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,913	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	2,913	2,913
Annual IC Time Burden (Hours)	576	576
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Supporting Statement Part A	UX-OSTLTS-SSA.docx	10/18/2017
Supporting Statement Part B	UX-OSTLTS-SSB.docx	10/18/2017
Screenshot of the STLT Gateway	Attachment A STLT Gateway Screenshot.pdf	10/18/2017
Method Used to Estimate Average Hourly Wage	Attachment F Calculating Average Hourly Wages for STLT Health Professional Respondent Burden (for Table A-12).docx	10/18/2017
Questionnaire Invitation	Attachment G Questionnaire Invitation.docx	10/18/2017
Questionnaire Reminder	Attachment H Questionnaire Reminder.docx	10/18/2017
Card Sorting Invitation	Attachment I Card Sorting Invitation.docx	10/18/2017
Card Sorting Reminder	Attachment J Card Sorting Reminder.docx	10/18/2017

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