Customer Satisfaction Survey for the Research Data Center

Customer Surveys Generic Clearance for the National Center for Health Statistics

⚠️ Notice: This information collection may be referencing outdated material.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
Att A_Customer Satisfaction Survey.pdf Other-WORD
NCHS gen cus 2012 supst A gen IC 081012.doc NCHS gen cus 2012 supst A gen IC 081012 IC Document
NCHS gen cus 2012 Gen IC Sup St B 081012 (3).docx NCHS gen cus 2012 Gen IC Sup St B 081012 (3) IC Document

Information Collection (IC) Details

IC Title:	Customer Satisfaction Survey for the Research Data Center	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
Other-WORD			Att A_Customer Satisfaction Survey.pdf		Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Immunization Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 900	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: 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	900	0	0	0	0	0
Annual IC Time Burden (Hours)	150	0	0	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
NCHS gen cus 2012 supst A gen IC 081012	NCHS gen cus 2012 supst A gen IC 081012.doc	08/22/2012
NCHS gen cus 2012 Gen IC Sup St B 081012 (3)	NCHS gen cus 2012 Gen IC Sup St B 081012 (3).docx	08/22/2012

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