Manual of Analytical Methods Customer Satisfaction Survey

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (NIOSH 2)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0953 can be found here:

Documents and Forms

Document Name Document Type
Manual of Analytical Methods Customer Satisfaction Survey Form
Manual of Analytical Methods Survey NMAM survey 01182013.pdf Form
OMB NMAM Clearance Submission Template 01.09.2013.docx Submission Application IC Document
NMAM survey 01092013.doc Manual of Analytical Methods Survey - Word IC Document

Information Collection (IC) Details

IC Title:	Manual of Analytical Methods Customer Satisfaction Survey	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	Manual of Analytical Methods Survey	NMAM survey 01182013.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Immunization Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 500	Number of Respondents for Small Entity: 167

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	500	0	0	0	0	0
Annual IC Time Burden (Hours)	250	0	0	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
Submission Application	OMB NMAM Clearance Submission Template 01.09.2013.docx	01/23/2013
Manual of Analytical Methods Survey - Word	NMAM survey 01092013.doc	01/23/2013

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