CDC INFO - Web survey for email inquirers (English and Spanish)

Evaluation of the Centers for Disease Control and Prevention's National Contact Center (CDC-INFO)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0753 can be found here:

Documents and Forms

Document Name Document Type
Form 0920-0753 CDC INFO - Web survey for email inquirers (English and Spanish) Form and Instruction
0920-0753 Atachment H Web Survey for Email Inquirers (Spanish) Attachment H Web Survey Email (Spanish).doc Form and Instruction
0920-0753 Attachment G Web Survey for Email Inquirers (English) Attachment G Web Survey Email (English).doc Form and Instruction

Information Collection (IC) Details

IC Title:	CDC INFO - Web survey for email inquirers (English and Spanish)	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 and Instruction	0920-0753	Attachment G Web Survey for Email Inquirers (English)	Attachment G Web Survey Email (English).doc		Yes	Yes	Fillable Printable
Form and Instruction	0920-0753	Atachment H Web Survey for Email Inquirers (Spanish)	Attachment H Web Survey Email (Spanish).doc		Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,460	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1,460	1,130	330
Annual IC Time Burden (Hours)	73	56	17
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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