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ISD All-Awardee Conference Call Survey
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (NCIRD)
OMB: 0920-1026
IC ID: 218152
OMB.report
HHS/CDC
OMB 0920-1026
ICR 201407-0920-001
IC 218152
( )
Documents and Forms
Document Name
Document Type
ISD All-Awardee Conference Call Survey
Form
All-Awardee Conference Call Survey
Attachment A_Immunization Services Division All Awardee Call Evaluation_Screenshots.pdf
Form
GenIC 0920-1026_Immunization Services Division All Awardee Call Evaluation.docx
Request for Approval
IC Document
Attachment B_Immunization Services Division All-Awardee Call Evaluation_ Participation Email.docx
Invitation Email
IC Document
Attachment C_ Immunization Services Division All-Awardee Call Evaluation_Reminder Email.docx
Reminder Email
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
ISD All-Awardee Conference Call Survey
Agency IC Tracking Number:
15BFC
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
All-Awardee Conference Call Survey
Attachment A_Immunization Services Division All Awardee Call Evaluation_Screenshots.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Health Care Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
232
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
232
0
232
0
0
0
Annual IC Time Burden (Hours)
19
0
19
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Request for Approval
GenIC 0920-1026_Immunization Services Division All Awardee Call Evaluation.docx
09/10/2015
Invitation Email
Attachment B_Immunization Services Division All-Awardee Call Evaluation_ Participation Email.docx
09/10/2015
Reminder Email
Attachment C_ Immunization Services Division All-Awardee Call Evaluation_Reminder Email.docx
09/10/2015
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.