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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
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

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:

table that charts list of 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 %

table that charts list of burden
	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

table that charts IC Documents
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.