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)

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	Atachment H Web Survey for Email Inquirers (Spanish)	Attachment H Web Survey Email (Spanish).doc		Yes	Yes	Fillable Printable
Form and Instruction	0920-0753	Attachment G Web Survey for Email Inquirers (English)	Attachment G Web Survey Email (English).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	Previously Approved
Annual Number of Responses for this IC	1,460	1,460
Annual IC Time Burden (Hours)	73	73
Annual IC Cost Burden (Dollars)	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.