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

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

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

Information Collection (IC) Details

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:

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 %

	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

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.