Information Collection

The Morbidity and Mortality Weekly Report 2016 Customer Service Feedback Survey Pilot

IC 220881 under ICR 201305-0920-009 · OMB 0920-0974.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0974 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
The Morbidity and Mortality Weekly Report 2016 Customer Service Feedback Survey Pilot	Form and Instruction
Att_3_0920-0974_MMWR 2016 Cust Serv Pilot Survey_Email_Invitation.docx	Instruction
MMWR 2016 Customer Service Feedback Survey Pilot Att_2_0920-0974_MMWR 2016 Cust Serv Pilot Survey_Screen Shots.docx	Form and Instruction
GenIC Req_0920-0974_MMWR 2016 Cust Serv Pilot Survey 05APR2016_Final.docx GenIC Request	IC Document
Att_4_0920-0974_MMWR 2016 Cust Serv Pilot Survey_Reminder_Email_Invitati....docx MMWR 2016 Survey Email Reminder	IC Document
New Requirements_MMWR 2016 Cust Serv Pilot Survey_Overview.docx New Requirements for SSA	IC Document

IC Title:

The Morbidity and Mortality Weekly Report 2016 Customer Service Feedback Survey Pilot

Agency IC Tracking Number:

16ZW

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 and Instruction	NA	MMWR 2016 Customer Service Feedback Survey Pilot	Att_2_0920-0974_MMWR 2016 Cust Serv Pilot Survey_Screen Shots.docx	NA	Yes	Yes	Fillable Fileable
Instruction			Att_3_0920-0974_MMWR 2016 Cust Serv Pilot Survey_Email_Invitation.docx	NA	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,800

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,800	1,800
Annual IC Time Burden (Hours)	100	100
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
GenIC Request	GenIC Req_0920-0974_MMWR 2016 Cust Serv Pilot Survey 05APR2016_Final.docx	04/05/2016
MMWR 2016 Survey Email Reminder	Att_4_0920-0974_MMWR 2016 Cust Serv Pilot Survey_Reminder_Email_Invitati....docx	04/05/2016
New Requirements for SSA	New Requirements_MMWR 2016 Cust Serv Pilot Survey_Overview.docx	04/05/2016

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