Information Collection

2018 Customer Satisfaction Survey for CDC NCEH NSMBB Laboratory Accredited to ISO 17043 (Proficiency Testing)

IC 233473 under ICR 201510-0923-001 · OMB 0923-0047.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0923-0047 can be found here:

Documents and Forms

Documents and forms in this information collection
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

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:

table that charts list of 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 %

table that charts list of burden
	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

table that charts IC Documents
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.