Customer Feedback on CDC CVD Policy Platform

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⚠️ Notice: This information collection may be referencing outdated material.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
GenIC Interview Guide CVD Policy SLT.docx Other-WORD
Project Determination for ICatalyst.pdf Att B_Request for Project Determination (IRB) IC Document
GenIC Request CVD Policy SLT.docx Request for Approval IC Document

Information Collection (IC) Details

IC Title:	Customer Feedback on CDC CVD Policy Platform	Agency IC Tracking Number:	0920-1050 19AT

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
Other-WORD			GenIC Interview Guide CVD Policy SLT.docx		No		Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 50	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	50	50
Annual IC Time Burden (Hours)	25	25
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Att B_Request for Project Determination (IRB)	Project Determination for ICatalyst.pdf	10/09/2018
Request for Approval	GenIC Request CVD Policy SLT.docx	10/09/2018

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