Information Collection

CDC-INFO Interactive Voice Response Survey

IC 225142 under ICR 201605-0920-001 · OMB 0920-1050.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1050 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 0920-1050 CDC-INFO Interactive Voice Response Survey	Form and Instruction
0920-1050 17FZ CDC-INFO IVR Survey_2016.docx	Form and Instruction
Final Generic Clearance Submission Template_2016_IVR survey_PRA.docx Final Generic Clearance Submission Template_2016_IVR survey_PRA	IC Document

IC Title:

CDC-INFO Interactive Voice Response Survey

Agency IC Tracking Number:

17FZ

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	0920-1050	17FZ	CDC-INFO IVR Survey_2016.docx		No		Fillable Printable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 36,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,296,000,000	1,296,000,000
Annual IC Time Burden (Hours)	2,400	2,400
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Final Generic Clearance Submission Template_2016_IVR survey_PRA	Final Generic Clearance Submission Template_2016_IVR survey_PRA.docx	01/12/2017

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