Feedback Survey of persons registered for the NCHS 2015 National Conference on Health Statistics

Customer Surveys Generic Clearance for the National Center for Health Statistics

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0729 can be found here:

Documents and Forms

Document Name Document Type
Form 0920-0729 Feedback Survey of persons registered for the NCHS 2015 National Conference on Health Statistics Form and Instruction
0920-0729 Attachment A Feedback Survey Attachment A Feedback Survey 072015.docx Form and Instruction
SSA Feedback Survey gen IC 072715.docx SSA Feedback Survey gen IC IC Document
SSB Feedback Survey gen IC 072715.docx SSB Feedback Survey gen IC IC Document

Information Collection (IC) Details

IC Title:	Feedback Survey of persons registered for the NCHS 2015 National Conference on Health Statistics	Agency IC Tracking Number:	15BAB

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	0920-0729	Attachment A Feedback Survey	Attachment A Feedback Survey 072015.docx		Yes	No	Fillable Printable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title: 09-20-0169 Users of Health Statistics	FR Citation: 51 FR 42371

Number of Respondents: 1,000	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	1,000	1,000
Annual IC Time Burden (Hours)	133	133
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
SSA Feedback Survey gen IC	SSA Feedback Survey gen IC 072715.docx	07/29/2015
SSB Feedback Survey gen IC	SSB Feedback Survey gen IC 072715.docx	07/29/2015

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