Customer Satisfaction Survey for CDC NSMBB Laboratory Accredited to ISO 17043 (Proficiency Testing)

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⚠️ Notice: This information collection may be referencing outdated material.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
Customer Satisfaction Survey for CDC NSMBB Laboratory Accredited to ISO 17043 (Proficiency Testing) Form and Instruction
Customer Satisfaction Survey for the CDC Newborn Screeni Attachment B1 - Survey_Online.pdf Form and Instruction
0923-0047 GenIC CDC NSMBB Lab Cust Satisf Srvy_20170913.docx Template - Justification for Customer Satisfaction Survey IC Document
Attachment A1 - Email Template.pdf Email Invitation to Participate in the Survey IC Document
Attachment A2 - Hardcopy Solicitation.docx Hardcopy Invitation to Participate in the Su IC Document
Attachment B2 - Survey_Hardcopy_Word.docx WORD version of Survey Instrument (for reference) IC Document
Attachment C - Research Determination.pdf CDC Research Determination (no IRB approval required) IC Document

Information Collection (IC) Details

IC Title:	Customer Satisfaction Survey for CDC NSMBB Laboratory Accredited to ISO 17043 (Proficiency Testing)	Agency IC Tracking Number:	0923-17BCI

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	n/a	Customer Satisfaction Survey for the CDC Newborn Screening Quality Assurance Program	Attachment B1 - Survey_Online.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 3,500	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	3,500	3,500
Annual IC Time Burden (Hours)	583	583
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Template - Justification for Customer Satisfaction Survey	0923-0047 GenIC CDC NSMBB Lab Cust Satisf Srvy_20170913.docx	09/19/2017
Email Invitation to Participate in the Survey	Attachment A1 - Email Template.pdf	09/19/2017
Hardcopy Invitation to Participate in the Su	Attachment A2 - Hardcopy Solicitation.docx	09/19/2017
WORD version of Survey Instrument (for reference)	Attachment B2 - Survey_Hardcopy_Word.docx	09/19/2017
CDC Research Determination (no IRB approval required)	Attachment C - Research Determination.pdf	09/19/2017

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