OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

2018 ITSO Customer Satisfaction Survey

IC 229412 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⚠️ Notice: This information collection may be referencing outdated material.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
2018 ITSO Customer Satisfaction Survey	Form
2018 ITSO Customer Satisfaction Survey CDC 2018 ITSO Survey 12.6.17.pdf	Form
Fast Track GenIC Request ITSO ITCSA 2018.docx Request for Approval	IC Document
2010 IT Cust Sat Analysis PWS.DOC Performance Work Statement	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

2018 ITSO Customer Satisfaction Survey

Agency IC Tracking Number:

0920-1050-18IZ

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	none	2018 ITSO Customer Satisfaction Survey	CDC 2018 ITSO Survey 12.6.17.pdf		Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

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 %

table that charts list of burden
	Approved	Program Change Due to New Statute	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA	Previously Approved
Annual Number of Responses for this IC	2,400	0	2,400	0	0	0
Annual IC Time Burden (Hours)	600	0	600	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Request for Approval	Fast Track GenIC Request ITSO ITCSA 2018.docx	12/11/2017
Performance Work Statement	2010 IT Cust Sat Analysis PWS.DOC	12/11/2017

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