Information Collection

Feedback Survey of persons registered for the NCHS 2015 National Conference on Health Statistics

IC 217691 under ICR 201610-0920-002 · OMB 0920-0729.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
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

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:

table that charts list of 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

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 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	1,000	1,000
Annual IC Time Burden (Hours)	133	133
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.