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VTrckS Awardee Survey/Partner Data Assessment Project
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (NCIRD)
OMB: 0920-1026
IC ID: 212674
OMB.report
HHS/CDC
OMB 0920-1026
ICR 201407-0920-001
IC 212674
( )
Documents and Forms
Document Name
Document Type
2014VTrckSAwardeeSurvey final.pdf
Other-PDF
VTrckS Contact Center Customer Satisfaction Survey_final.pdf
Other-PDF
TrainingSurvey final.pdf
Other-PDF
Service Delivery_GenIC_VTrckSAwardeeSurvey.docx
Request for Approval ~VTrckS Awardee Survy
IC Document
VTrckSContactCenterSurvey_Service Delivery GenIC.docx
Request for Approval ~ VTrckS Contact Center Survey
IC Document
VTrckSTraining_Service Delivery_GenIC.docx
Request for Approval ~ VTrckS Training Survey
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
VTrckS Awardee Survey/Partner Data Assessment Project
Agency IC Tracking Number:
14AUN/14AVI/14AVL
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
Other-PDF
2014VTrckSAwardeeSurvey final.pdf
Yes
Yes
Fillable Printable
Other-PDF
VTrckS Contact Center Customer Satisfaction Survey_final.pdf
Yes
Yes
Fillable Printable
Other-PDF
TrainingSurvey final.pdf
Yes
Yes
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Public Health Monitoring
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
186
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
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
186
0
186
0
0
0
Annual IC Time Burden (Hours)
321
0
321
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Request for Approval ~VTrckS Awardee Survy
Service Delivery_GenIC_VTrckSAwardeeSurvey.docx
08/14/2014
Request for Approval ~ VTrckS Contact Center Survey
VTrckSContactCenterSurvey_Service Delivery GenIC.docx
08/14/2014
Request for Approval ~ VTrckS Training Survey
VTrckSTraining_Service Delivery_GenIC.docx
08/14/2014
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.