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VETO Volence Tools and Training Customer Satisfaction
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
OMB: 0920-1009
IC ID: 235581
OMB.report
HHS/CDC
OMB 0920-1009
ICR 201612-0920-007
IC 235581
( )
Documents and Forms
Document Name
Document Type
Att 1- Invitation Letter_3_14_19.docx
Other-ord
Att 3- Welcome Email_3_14_19.docx
Other-oRD
0920-1009 VetoViolence Evaluation- Spring 2019
Att 2- SurveyMonkey_3_14_19.pdf
Form and Instruction
Service_Orien_GenIC_VetoToolsandTraining_3_14_19.docx
Request for Approval
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
VETO Volence Tools and Training Customer Satisfaction
Agency IC Tracking Number:
0920-1009-19AEM
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
Other-ord
Att 1- Invitation Letter_3_14_19.docx
No
Paper Only
Other-oRD
Att 3- Welcome Email_3_14_19.docx
No
Paper Only
Form and Instruction
0920-1009
VetoViolence Evaluation- Spring 2019
Att 2- SurveyMonkey_3_14_19.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Illness Prevention
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
809
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Approved
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
809
0
809
0
0
0
Annual IC Time Burden (Hours)
82
0
82
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Request for Approval
Service_Orien_GenIC_VetoToolsandTraining_3_14_19.docx
04/05/2019
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.