Information Collection

Feedback Survey of Persons registered for the NCHS 2010 National Conference

IC 198394 under ICR 201102-0920-014 · OMB 0920-0729.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0729 can be found here:

Documents and Forms

Document Name Document Type
Feedback Survey of Persons registered for the NCHS 2010 National Conference Form
NCHS Feedback Survey NCHS 2011 cus sur Gen IC Attachment A 062211.docx Form
Customer Satisfaction Website Survey NCHS 2011 Con SURVEY Att. B.mht Form
NCHS 2011 gen cus supst A gen IC 062811.doc Supporting Statement A IC Document
NCHS 2011 cus sur Gen IC Sup St B 062811.docx Supporting Statement B IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Feedback Survey of Persons registered for the NCHS 2010 National Conference	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	none	NCHS Feedback Survey	NCHS 2011 cus sur Gen IC Attachment A 062211.docx		Yes	Yes	Fillable Fileable
Form	none	Customer Satisfaction Website Survey	NCHS 2011 Con SURVEY Att. B.mht		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title: Users of Health Statistics	FR Citation: 51 FR 42371

Number of Respondents: 2,000	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 90 %

	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	2,000	0	0	0	0	0
Annual IC Time Burden (Hours)	267	0	0	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
Supporting Statement A	NCHS 2011 gen cus supst A gen IC 062811.doc	06/30/2011
Supporting Statement B	NCHS 2011 cus sur Gen IC Sup St B 062811.docx	06/30/2011

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