Information Collection

Customer Satisfaction Survey for CBIIT Events

IC 228029 under ICR 201702-0925-001 · OMB 0925-0642.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0642 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Customer Satisfaction Survey for CBIIT Events	Form
1 CBIIT Event Survey Fast Track CBIIT Event Survey.docx	Form
Fast Track Request CBIIT Event.docx Fast Track Request CBIIT Event	IC Document

IC Title:

Customer Satisfaction Survey for CBIIT Events

Agency IC Tracking Number:

IC Status: New

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	1	CBIIT Event Survey	Fast Track CBIIT Event Survey.docx		No		Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 400

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	400	400
Annual IC Time Burden (Hours)	20	20
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Fast Track Request CBIIT Event	Fast Track Request CBIIT Event.docx	08/24/2017

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