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Feedback Survey of persons registered for the NCHS 2015 National Conference on Health Statistics
Customer Surveys Generic Clearance for the National Center for Health Statistics
OMB: 0920-0729
IC ID: 217691
OMB.report
HHS/CDC
OMB 0920-0729
ICR 201610-0920-002
IC 217691
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0729 can be found here:
2023-02-01 - Extension without change of a currently approved collection
2022-12-21 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
Form 0920-0729
Feedback Survey of persons registered for the NCHS 2015 National Conference on Health Statistics
Form and Instruction
0920-0729 Attachment A Feedback Survey
Attachment A Feedback Survey 072015.docx
Form and Instruction
SSA Feedback Survey gen IC 072715.docx
SSA Feedback Survey gen IC
IC Document
SSB Feedback Survey gen IC 072715.docx
SSB Feedback Survey gen IC
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Feedback Survey of persons registered for the NCHS 2015 National Conference on Health Statistics
Agency IC Tracking Number:
15BAB
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
Form and Instruction
0920-0729
Attachment A Feedback Survey
Attachment A Feedback Survey 072015.docx
Yes
No
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Public Health Monitoring
Privacy Act System of Records
Title:
09-20-0169 Users of Health Statistics
FR Citation:
51 FR 42371
Number of Respondents:
1,000
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
Requested
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
1,000
0
0
0
0
1,000
Annual IC Time Burden (Hours)
133
0
0
0
0
133
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
SSA Feedback Survey gen IC
SSA Feedback Survey gen IC 072715.docx
07/29/2015
SSB Feedback Survey gen IC
SSB Feedback Survey gen IC 072715.docx
07/29/2015
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.