Information Collection

End-of Email Survey

IC 194709 under ICR 200710-0930-001 · OMB 0930-0197.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0930-0197 can be found here:

Documents and Forms

Document Name Document Type
Form End-of Email Surve End-of Email Survey Form
End-of Email Surve End-of Email Survey TAP End of Email Survey List of Attachments.docx Form
Contractor End of Email Satisfaction Survey, 9-17-10.doc Justification IC Document
Trans.Let-14-2010.doc Memo IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	End-of Email 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
Form	End-of Email Survey	End-of Email Survey	TAP End of Email Survey List of Attachments.docx		Yes	Yes	Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 300	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 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	600	0	0	0	0	0
Annual IC Time Burden (Hours)	18	0	0	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
Justification	Contractor End of Email Satisfaction Survey, 9-17-10.doc	09/20/2010
Memo	Trans.Let-14-2010.doc	09/20/2010

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