2018 Customer Satisfaction Survey for CDC NCEH 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⚠️ Notice: This information collection may be referencing outdated material.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
Form 0920-1071 2018 Customer Satisfaction Survey for CDC NCEH NSMBB Laboratory Accredited to ISO 17043 (Proficiency Testing) Form and Instruction
0920-1071 CDC Laboratory Customer Satisfaction Survey - CDC NCEH N Attachment B1 - Survey_Online_2018.pdf Form and Instruction
Attachment A1 - Email Template.pdf Email Template IC Document
Attachment A2 - Hardcopy Solicitation.docx Hardcopy Solicitation IC Document
Attachment B2 - Survey_Hardcopy_Word.docx Survey - Word version IC Document
Attachment C - Research Determination.pdf Research Determination IC Document
0923-0047 GenIC CDC NSMBB Lab Cust Satisf Srvy_20180924.docx GenIC Request IC Document

Information Collection (IC) Details

IC Title:	2018 Customer Satisfaction Survey for CDC NCEH NSMBB Laboratory Accredited to ISO 17043 (Proficiency Testing)	Agency IC Tracking Number:	0920-1071-19AW

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	CDC Laboratory Customer Satisfaction Survey - CDC NCEH NSMBB Laboratory Proficiency Testing	Attachment B1 - Survey_Online_2018.pdf	NA	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

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
Email Template	Attachment A1 - Email Template.pdf	10/11/2018
Hardcopy Solicitation	Attachment A2 - Hardcopy Solicitation.docx	10/11/2018
Survey - Word version	Attachment B2 - Survey_Hardcopy_Word.docx	10/11/2018
Research Determination	Attachment C - Research Determination.pdf	10/11/2018
GenIC Request	0923-0047 GenIC CDC NSMBB Lab Cust Satisf Srvy_20180924.docx	10/11/2018

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