WISQARS Discussion Groups

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⚠️ Notice: This information collection may be referencing outdated material.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 0920-1009 can be found here:

Documents and Forms

Document Name Document Type
WISQARS Discussion Groups Form
Discussion Guide WISQARS Discussion Group Questions.docx Form
Fast_Track_GenIC_RequestTemplate - WISQARS Discussion Group.docx Request for Approval IC Document

Information Collection (IC) Details

IC Title:	WISQARS Discussion Groups	Agency IC Tracking Number:	14PJ

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	Discussion Guide	WISQARS Discussion Group Questions.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 30	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	30	30
Annual IC Time Burden (Hours)	30	30
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Request for Approval	Fast_Track_GenIC_RequestTemplate - WISQARS Discussion Group.docx	04/02/2014

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