Information Collection

NIOSH Customer Satisfaction Survey- Familiar with NIOSH respondents

IC 6995 under ICR 200903-0920-001 · OMB 0920-0544.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0544 can be found here:

Documents and Forms

Document Name Document Type
Form No number NIOSH Customer Satisfaction Survey- Familiar with NIOSH respondents Form
No number NIOSH Customer Satisfaction Survey Attachment E NIOSH CSS_2008_06_04_Qs from baseline vs new.doc Form
Attachment C1 NIOSH CUSTOMER SATISFACTION SURVEY_2008_06_17.doc Attachment C - Previous survey IC Document
Attachment C8 Survey Instructions.doc Attachment C8 - Survey Instructions IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	NIOSH Customer Satisfaction Survey- Familiar with NIOSH respondents	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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	No number	NIOSH Customer Satisfaction Survey	Attachment E NIOSH CSS_2008_06_04_Qs from baseline vs new.doc		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 570	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 12 %

	Approved	Program Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	570	-30	600
Annual IC Time Burden (Hours)	190	-10	200
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
Attachment C - Previous survey	Attachment C1 NIOSH CUSTOMER SATISFACTION SURVEY_2008_06_17.doc	01/28/2009
Attachment C8 - Survey Instructions	Attachment C8 Survey Instructions.doc	01/28/2009

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