Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

ICR 201606-0920-007

OMB: 0920-0974

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
New
Form and Instruction
New
Form and Instruction
New
Form
New
Form
New
Form
New
Form and Instruction
New
Form and Instruction
New
Form and Instruction
New
Form and Instruction
New
Form
New
Form
New
Form and Instruction
New
Form
New
Form and Instruction
New
Form and Instruction
New
Form and Instruction
New
Form and Instruction
New
Form and Instruction
New
Form and Instruction
New
Form and Instruction
New
Form and Instruction
New
Form
New
Form and Instruction
New
Form
New
Form
New
Form
New
Form and Instruction
New
Supplementary Document
2016-06-09
Supporting Statement B
2016-06-09
Supporting Statement A
2016-06-09
IC Document Collections
IC ID
Document
Title
Status
237491 New
237191 New
237143 New
236771 New
236620 New
236443 New
236433 New
236424 New
236409 New
236116 New
235927 New
235689 New
235660 New
235507 New
235481 New
235203 New
233951 New
233071 New
232805 New
232633 New
232622 New
232362 New
232357 New
232348 New
229982 New
227541 New
227194 New
225548 New
225311 New
225310 New
225110 New
224854 New
224566 New
ICR Details
0920-0974 201606-0920-007
Historical Active 201305-0920-009
HHS/CDC 19639
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
Revision of a currently approved collection   No
Regular
Approved without change 10/05/2016
Retrieve Notice of Action (NOA) 06/15/2016
OMB approves this collection for a period of three years. To request approval of information collections under this generic approval, the agency must do the following: 1) Unless an agency is using multiple modes of collection (e.g., paper forms and electronic submissions), provide a Generic Clearance Submission Template for each Instrument; 2) If the agency is using multiple modes of collection (e.g., paper forms and electronic submissions), the same Generic Clearance Submission Template may be used for both instruments; 3) each Generic Clearance Submission Template must be uploaded as a Supplementary document using a naming convention that allows the public to identify the associated instrument; 4) submit no more than five Generic Submission Templates with each request.
  Inventory as of this Action Requested Previously Approved
10/31/2019 36 Months From Approved 10/31/2016
187,746 0 60,720
50,871 0 41,799
0 0 0

This collection of information is necessary to enable the Agency to garner customer and stakeholder feedback in an efficient, timely manner, in accordance with our commitment to improving service delivery. The information collected from our customers and stakeholders will help ensure that users have an effective, efficient, and satisfying experience with the Agency's programs.

EO: EO 12862 Name/Subject of EO: Setting Customer Service Standards
  
None

Not associated with rulemaking

  79 FR 24432 04/30/2014
81 FR 38184 06/13/2016
No

33
IC Title Form No. Form Name
Individualized Quality Control Plan Workbook Survey 0920-0974 03_Screen shots of IQCP Workbook Survey 01-19-2017
Mycobacterium tuberculosis: Diagnostic Principles and Procedures Course Learner Feedback Survey 0920-0974 Mtuberculosis Course Survey
2019 ELI Fellowship End of Year Evaluation Survey 0920-0974 2019 ELI Fellowship Survey
Anticoagulation Manager Mobile App User Feedback none Anticoagulation Manager Mobile App User Survey
Diagnostic Parasitology Course Feedback none Diagnostic Parasitology Learner Feedback Survey
Exposure to Arsenic and Uranium in Private Well Water in Connecticut New Mexico and New Hampshire 0920-1173, 0920-1173, 0920-1173 Screening Survey ,   Food and Bathing Log ,   Survey (Exposure to Arsenic an Uranium in Private Well Water in Connecticut, New Mexico, and New Hampshire
CDC Introduction to Informatics: Life of a Specimen and Life of a Result eLearning Courses Learner Feedback Survey 0920-0974 Learner Feedback Survey
EIS and LLS Class of 2020 Applicant Customer Satisfaction Survey 0920-0974 CDC Fellowship Applicant Customer Satisfaction Survey
Laboratory Methods for Detecting Rabies Virus Course Learner Feedback Survey 0920-0974 Rabies Course Feedback Survey
Public Health Laboratory Focus Group Feedback on DLS Professional Development Services Offerings 0920-0974, 0920-0974 Focus Group Guide ,   Pre-Focus Group Questionnaire
Feedback Survey of 2017 NSSP Annual Grantee Meeting none Survey of 2017 NSSP Grantee Meeting
Implementing Public Health Genomics in Your State: Resources from CDC Office of Public Health 0920-17FC Genomics Survey for Webinar 2016_11_18
Applicability and Use of The Community Guide Among National Association of County and City Health Officials (NACCHO) Members N/A Applicability and Use of The Community Guide Among NACCHO Members (screenshots)
BioSense Platform User Satisfaction Survey
Good Laboratory Practices for Biochemical Genetic Testing Preanalytic Phase eLearning Course Learner Feedback Survey
2018 Science Ambassador Fellowship Exit Satisfaction Survey none Science Ambassador Fellowship Exit Satisfaction Survey
Good Laboratory Practices for Molecular Genetic Testing Learner Feedback Survey 0920-0974 2018 Public Health and Preparedness Webinar Learner Feedback Survey
Evaluating the Applicability and Use of The Commmunity Guide among SAMHSA Grantees none SAMHSA Grantees Survey
Individualized Quality Control Plan Workbook Survey
Mycobacterium tuberculosis: Diagnostic Principles and Procedures Course Learner Feedback Survey 0920-0974 CDC 2019 Mycobacterium tuberculosis Diagnostic Principles and Procedures - Course Learner Feedback Survey
CDC Public Health and Preparedness Webinar Feedback Survey none Learner Feedback Survey
Customer Service Feedback Survey of 2019 EIS Conference none 2019 EIS Conference Survey
Genomics and Population Health Action Collaborative (GPHAC) Interviews
Packaging and Shipping Division 6.2 Materials eLearning Course Learner Feedback Survey n/a 2018 Packaging and Shipping Division 6.2 Materials eLearning Course Feedback Survey
Public Health and Prepareness Webinars Learner Feedback Survey 0920-0974 (!!*ASY) 2018 Public Health and Preparedness Webinar Learner Feedback Survey
Laboratory Identification of Emerging Pathogenic Molds Course Learner Feedback Survey 0920-0974 Laboratory Identification of Emerging Pathogenic Molds Course Learner Feedback Survey
2019 Science Ambassador Training Customer Satisfaction Survey 0920-0974 Customer Satisfaction Survey
Public Health Laboratory Feedback on DLS Professional Development Service Offerings none Pre-focus group questionnaire
Microbiology-Oriented eLearning Courses Learner Feedback Survey 0920-0974 Microbiology-Oriented eLearning Feedback
Good Laboratory Practices for Molecular Genetic Testing eLearning Course Learner Feedback 0920-0974 (18AVD) 2018 Good Laboratory Practices for Molecular Genetic Testing Elearning Course Learner Feedback Survey
Clinical Laboratory Interview Feedback on DLS Professional Development Service Offerings n/q, n/a Pre-interview Questionnaire ,   Interview Guide
2019 Science Ambassador Fellowship Summer Course Satisfaction Survey n/a 2019 Science Ambassador Fellowship Summer Course Satisfaction Survey
Clinical laboratory focus group feedback on DLS professional development service offerings none Pre-Focus Group Questionnaire

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 187,746 60,720 0 127,026 0 0
Annual Time Burden (Hours) 50,871 41,799 0 9,072 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
Request is being submitted to keep existing Generic Clearance on-going, although CIO submitted revision request with verbiage for additional burden and responses, it is not clear based on burden table reflected in SSA, 30 day doc based on hours requested. CIO will need to await further instruction from OMB desk officer as to whether another revision request will need to be submitted at a later time. CIO comments: "Additional burden hours are being requested primarily to reflect the increase in the number of Center programs due to a reorganization in 2014, use of electronic survey methods, and interest in customer input to and satisfaction with websites and products developed for constituents. Specifically, increases have resulted in association with use of electronic surveys, which allow for broader reach at lower survey costs, thus increasing number of surveys possible for a fixed budget."

$393,149
Yes Part B of Supporting Statement
No
No
No
No
Uncollected
Catina Conner 404 639-4775

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
06/15/2016


© 2024 OMB.report | Privacy Policy