Customer Satisfaction Survey for CDC AR Isolate Bank

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⚠️ Notice: This information collection may be referencing outdated material.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 0920-1071 can be found here:

Documents and Forms

Document Name Document Type
AR Isolate Bank - Customer Satisfaction Survey Items Yr1.doc Other-WORD
AR Isolate Bank - Service Delivery Fast Track Template_v2.docx Request for Approval of Service Delivery Request IC Document

Information Collection (IC) Details

IC Title:	Customer Satisfaction Survey for CDC AR Isolate Bank	Agency IC Tracking Number:	16AOU

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-WORD			AR Isolate Bank - Customer Satisfaction Survey Items Yr1.doc		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title: 09-20-0136 Epidemiologic Studies and Surveillance of Disease Problems	FR Citation: 51 FR 62812

Number of Respondents: 95	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	95	95
Annual IC Time Burden (Hours)	16	16
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Request for Approval of Service Delivery Request	AR Isolate Bank - Service Delivery Fast Track Template_v2.docx	05/27/2016

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