Information Collection

Customer Satisfaction Survey for CDC AR Isolate Bank Year 2

IC 227310 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⚠️ Notice: This information collection may be referencing outdated material.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
Customer Satisfaction Survey for CDC AR Isolate Bank Year 2	Form
AR Isolate Bank Survey AR Isolate Bank - Customer Satisfaction Survey Items Yr2 v3.docx	Form
AR Isolate Bank - Service Delivery Fast Track Template_v4_2017_06_26.docx Request for Approval	IC Document

IC Title:

Customer Satisfaction Survey for CDC AR Isolate Bank Year 2

Agency IC Tracking Number:

0920-1071-17AUB

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
Form	none	AR Isolate Bank Survey	AR Isolate Bank - Customer Satisfaction Survey Items Yr2 v3.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 405

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	405	405
Annual IC Time Burden (Hours)	68	68
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Request for Approval	AR Isolate Bank - Service Delivery Fast Track Template_v4_2017_06_26.docx	06/28/2017

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