NCEH/ATSDR Office of Science Regulatory Team Customer Satisfaction 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⚠️ Notice: This information collection may be referencing outdated material.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 0923-0047 can be found here:

Documents and Forms

Document Name Document Type
NCEH/ATSDR Office of Science Regulatory Team Customer Satisfaction Survey Form and Instruction
NCEH/ATSDR Office of Science Regulatory Team Customer Ss Attachment D - NCEH-ATSDR OS Regulatory Team Customer Satisfaction Survey (online).docx Form and Instruction
Attachment A - ADS Email Request Letter.docx ADS Email Request Letter IC Document
Attachment B - Respondent Email Invitation.docx Respondent Email Invitation IC Document
0923-0047 NCEH-ATSDR Generic Clearance for Qualitative Feedback Approval Form.pdf GenIC Request IC Document

Information Collection (IC) Details

IC Title:	NCEH/ATSDR Office of Science Regulatory Team Customer Satisfaction Survey	Agency IC Tracking Number:	17XW

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	NCEH/ATSDR Office of Science Regulatory Team Customer Ssatisfaction Survey	Attachment D - NCEH-ATSDR OS Regulatory Team Customer Satisfaction Survey (online).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: 70	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	70	70
Annual IC Time Burden (Hours)	18	18
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
ADS Email Request Letter	Attachment A - ADS Email Request Letter.docx	03/16/2017
Respondent Email Invitation	Attachment B - Respondent Email Invitation.docx	03/16/2017
GenIC Request	0923-0047 NCEH-ATSDR Generic Clearance for Qualitative Feedback Approval Form.pdf	03/16/2017

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