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Customer Satisfaction Survey for CDC AR Isolate Bank
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
OMB: 0920-1071
IC ID: 221728
OMB.report
HHS/CDC
OMB 0920-1071
ICR 201503-0920-011
IC 221728
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1071 can be found here:
2024-05-08 - Revision of a currently approved collection
2024-03-22 - No material or nonsubstantive change to a currently approved collection
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
View Information Collection (IC)
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
Federal Enterprise Architecture Business Reference Module
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 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
95
0
95
0
0
0
Annual IC Time Burden (Hours)
16
0
16
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
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.