Information Collection

Customer Satisfaction Survey for CDC AR Isolate Bank

IC 221728 under ICR 201503-0920-011 · OMB 0920-1071.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1071 can be found here:

Documents and Forms

Documents and forms in this information collection
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

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:

table that charts list of 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 %

table that charts list of burden
	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

table that charts IC Documents
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.