CDC Page Info Tab

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⚠️ Notice: This information collection may be referencing outdated material.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
Form 0920-1050 CDC Page Info Tab Form and Instruction
0920-1050 CUSTOMER SATISFACTION SURVEY: CDC’S PAGE INFO TAB D-Survey-Questions-CDC-Page-Info-Tab-2019-OMB.docx Form and Instruction
C-Survey-Plan-CDC-Page-Info-Tab-2019-OMB.docx CDC Info Page Survey Plan IC Document
A-Fast-Track-PRA-submission-short-form-CDC-Page-Info-Tab-05FEB2019.docx GenIC Request IC Document

Information Collection (IC) Details

IC Title:	CDC Page Info Tab	Agency IC Tracking Number:	0920-1050-19NV

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	0920-1050	CUSTOMER SATISFACTION SURVEY: CDC’S PAGE INFO TAB	D-Survey-Questions-CDC-Page-Info-Tab-2019-OMB.docx	NA	Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 65	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	65	65
Annual IC Time Burden (Hours)	11	11
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
CDC Info Page Survey Plan	C-Survey-Plan-CDC-Page-Info-Tab-2019-OMB.docx	02/04/2019
GenIC Request	A-Fast-Track-PRA-submission-short-form-CDC-Page-Info-Tab-05FEB2019.docx	02/05/2019

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