Information Collection

Customer Satisfaction Survey for Soliciting Feedback on NICE Network Nursing Infection Prevention and Control In-Person Conference Sessions

IC 227513 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⚠️ Notice: This information collection may be referencing outdated material.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 Soliciting Feedback on NICE Network Nursing Infection Prevention and Control In-Person Conference Sessions	Form and Instruction
NICE Network Follow-Up Survey Att 1 - Follow Up Survey from Qualtrics.pdf	Form and Instruction
Att 2 - Survey Invitation.docx NICE Survey Invitation	IC Document
Att 3 - NRD.pdf Non-Research Determination	IC Document
Service Delivery Fast Track Template - ANA Contract 3-6 Month Survey-ANA Feedback.docx GenIC Request - Fast Track Template	IC Document

IC Title:

Customer Satisfaction Survey for Soliciting Feedback on NICE Network Nursing Infection Prevention and Control In-Person Conference Sessions

Agency IC Tracking Number:

0920-1071-17AVE

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 and Instruction	NA	NICE Network Follow-Up Survey	Att 1 - Follow Up Survey from Qualtrics.pdf	NA	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 600

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

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	600	600
Annual IC Time Burden (Hours)	50	50
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
NICE Survey Invitation	Att 2 - Survey Invitation.docx	07/14/2017
Non-Research Determination	Att 3 - NRD.pdf	07/14/2017
GenIC Request - Fast Track Template	Service Delivery Fast Track Template - ANA Contract 3-6 Month Survey-ANA Feedback.docx	07/14/2017

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