LLS Class of 2016 Laboratory Quality Survey

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⚠️ Notice: This information collection may be referencing outdated material.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
Form 0920-1071 LLS Class of 2016 Laboratory Quality Survey Form and Instruction
0920-1071 LLS Class of 2016 Laboratory Quality Survey Att. 1 - LLS 2016 Quality Survey.docx Form and Instruction
Att. 2 - LLS 2016 Quality Survey human subjects determination.pdf Research Determination IC Document
Generic_Clearance_for_Qualitative_Feedback__Approval_Form_NCEZID - LLS_Q....docx GenIC Request IC Document

Information Collection (IC) Details

IC Title:	LLS Class of 2016 Laboratory Quality Survey	Agency IC Tracking Number:	0920-1071-18HR

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	0920-1071	LLS Class of 2016 Laboratory Quality Survey	Att. 1 - LLS 2016 Quality Survey.docx	NA	Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 600	Number of Respondents for Small Entity: 0

Affected Public: Federal Government

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)	100	100
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Research Determination	Att. 2 - LLS 2016 Quality Survey human subjects determination.pdf	12/04/2017
GenIC Request	Generic_Clearance_for_Qualitative_Feedback__Approval_Form_NCEZID - LLS_Q....docx	12/04/2017

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