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

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⚠️ Notice: This information collection may be referencing outdated material.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
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

Information Collection (IC) Details

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:

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 %

	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

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.