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

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Enrollment	Form	New	Available
Focus group guide	Form and Instruction	New	Repair queued
Survey	Form	New	Available
Training and Technical Assistance Survey	Form	New	Available
Federal Select Agent Program Inspection Feedback Survey	Form and Instruction	New	Available
CDC 2016 - ITSO Customer Satisfaction Survey - Global	Form and Instruction	New	Repair queued
CDC 2016 - ITSO Customer Satisfaction Survey - Domestic	Form and Instruction	New	Available
PHEP Directors' Survey	Form	New	Available
60dayFRN..pdf	Supplementary Document	Uploaded 2014-11-24	Available
GenIC Clearance Template.docx	Supplementary Document	Uploaded 2014-11-24	Available
SSB.docx	Supporting Statement B	Uploaded 2014-11-24	Available
SSA.docx	Supporting Statement A	Uploaded 2014-11-24	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
221376	StopAnthrax Test Messaging Program Jurisdictional Pilot Test-User Satisfaction Feedback Collection	Form	New	Enrollment
221376	StopAnthrax Test Messaging Program Jurisdictional Pilot Test-User Satisfaction Feedback Collection	Form and Instruction	New	Focus group guide
221376	StopAnthrax Test Messaging Program Jurisdictional Pilot Test-User Satisfaction Feedback Collection	Form	New	Survey
221317	Assessing Satisfaction with Training and Technical Assistance Provided to PICH and REACH Awardees	Form	New	Training and Technical Assistance Survey
221317	Assessing Satisfaction with Training and Technical Assistance Provided to PICH and REACH Awardees	Other-Telephone Survey	New
221060	Federal Select Agent Program Inspection Feedback Survey	Form and Instruction	New	Federal Select Agent Program Inspection Feedback Survey
220602	ITSO Customer Satisfaction Survey	Form and Instruction	New	CDC 2016 - ITSO Customer Satisfaction Survey - Global
220602	ITSO Customer Satisfaction Survey	Form and Instruction	New	CDC 2016 - ITSO Customer Satisfaction Survey - Domestic
218972	Soliciting Feedback on National Snapshot of Public Health Preparedness	Form	New	PHEP Directors' Survey

ICR Details

OMB Control No: 0920-1050	ICR Reference No: 201411-0920-012
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/CDC	Agency Tracking No: 15FR
Title: Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 02/18/2015
Retrieve Notice of Action (NOA)	Date Received in OIRA: 12/08/2014
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2018	36 Months From Approved
Responses	17,400	0	0
Time Burden (Hours)	11,550	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: This collection of information is necessary to enable the Agency to garner customer and stakeholder feedback in an efficient, timely manner, in accordance with our commitment to improving service delivery. The information collected from our customers and stakeholders will help ensure that users have an effective, efficient, and satisfying experience with the Agency's programs.

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Authorizing Statute(s): EO: EO 12862 Name/Subject of EO: Setting Customer Service Standards
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 24432	04/30/2014
30-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 71102	12/01/2014
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 5

table that charts list of burden

IC Title	Form No.	Form Name
Assessing Satisfaction with Training and Technical Assistance Provided to PICH and REACH Awardees	none	Training and Technical Assistance Survey
Federal Select Agent Program Inspection Feedback Survey	NA	Federal Select Agent Program Inspection Feedback Survey
ITSO Customer Satisfaction Survey	NA, NA	CDC 2016 - ITSO Customer Satisfaction Survey - Domestic ,   CDC 2016 - ITSO Customer Satisfaction Survey - Global
Soliciting Feedback on National Snapshot of Public Health Preparedness	none	PHEP Directors' Survey
StopAnthrax Test Messaging Program Jurisdictional Pilot Test-User Satisfaction Feedback Collection	none, none, none	Survey ,   Focus group guide ,   Enrollment

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	17,400	0	0	17,400	0	0
Annual Time Burden (Hours)	11,550	0	0	11,550	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is a new generic clearance request for CDC OD.

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Annual Cost to Federal Government: $50,000

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 12/08/2014

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