Customer Satisfaction Survey for the Research Data Center

Customer Surveys Generic Clearance for the National Center for Health Statistics

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0729 can be found here:

Documents and Forms

Document Name Document Type
Att A_Customer Satisfaction Survey.pdf Other-WORD
NCHS gen cus 2012 supst A gen IC 081012.doc NCHS gen cus 2012 supst A gen IC 081012 IC Document
NCHS gen cus 2012 Gen IC Sup St B 081012 (3).docx NCHS gen cus 2012 Gen IC Sup St B 081012 (3) IC Document

Information Collection (IC) Details

IC Title:	Customer Satisfaction Survey for the Research Data Center	Agency IC Tracking Number:

IC Status: Unchanged

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			Att A_Customer Satisfaction Survey.pdf		Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Immunization Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 900	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Previously Approved
Annual Number of Responses for this IC	900	900
Annual IC Time Burden (Hours)	150	150
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
NCHS gen cus 2012 supst A gen IC 081012	NCHS gen cus 2012 supst A gen IC 081012.doc	08/22/2012
NCHS gen cus 2012 Gen IC Sup St B 081012 (3)	NCHS gen cus 2012 Gen IC Sup St B 081012 (3).docx	08/22/2012

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