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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
OMB: 0920-1071
IC ID: 227513
OMB.report
HHS/CDC
OMB 0920-1071
ICR 201503-0920-011
IC 227513
( )
⚠️ Notice: This information collection may be referencing outdated material.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
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
View Information Collection (IC)
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
Federal Enterprise Architecture Business Reference Module
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 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
600
0
600
0
0
0
Annual IC Time Burden (Hours)
50
0
50
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
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.