ITSO 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⚠️ Notice: This information collection may be referencing outdated material.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 0920-1050 can be found here:

Documents and Forms

Document Name Document Type
ITSO Customer Satisfaction Survey Form and Instruction
2017 ITSO Customer Satisfaction Survey - Domestic CDC 2017 ITSO Customer Satisfaction Survey - Domestic.pdf Form and Instruction
2017 ITSO Customer Satisfaction Survey - Global CDC 2017 ITSO Customer Satisfaction Survey - Global.pdf Form and Instruction
CDC 2017 ITSO ITCS Page 1 with OMB Note - Domestic.pdf 2017 ITSO Customer Satisfaction Survey - Domestic Page 1 IC Document
CDC 2017 ITSO ITCS Page 1 with OMB Note - Global.pdf 2017 ITSO Customer Satisfaction Survey - Global Page 1 IC Document
2010 IT Cust Sat Analysis PWS.doc Customer Satisfaction Analysis - Performance Work Statement IC Document
Fast Track GenIC Request ITSO ITCSA 2017.docx GenIC Request IC Document

Information Collection (IC) Details

IC Title:	ITSO Customer Satisfaction Survey	Agency IC Tracking Number:	0920-1050-17OL

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	2017 ITSO Customer Satisfaction Survey - Domestic	CDC 2017 ITSO Customer Satisfaction Survey - Domestic.pdf	NA	Yes	Yes	Fillable Fileable
Form and Instruction	NA	2017 ITSO Customer Satisfaction Survey - Global	CDC 2017 ITSO Customer Satisfaction Survey - Global.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: 2,400	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	2,400	2,400
Annual IC Time Burden (Hours)	600	600
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
2017 ITSO Customer Satisfaction Survey - Domestic Page 1	CDC 2017 ITSO ITCS Page 1 with OMB Note - Domestic.pdf	01/27/2017
2017 ITSO Customer Satisfaction Survey - Global Page 1	CDC 2017 ITSO ITCS Page 1 with OMB Note - Global.pdf	01/27/2017
Customer Satisfaction Analysis - Performance Work Statement	2010 IT Cust Sat Analysis PWS.doc	01/27/2017
GenIC Request	Fast Track GenIC Request ITSO ITCSA 2017.docx	01/27/2017

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