Information Collection

CDC Project Officer Support: SHD Officials Assessment

IC 238256 under ICR 201711-0920-012 · OMB 0920-0879.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0879 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Attachment B - CDC-POCS Word Version of Instrument.docx	Other-WORD
0920-0879 CDC Projct Oficer Effectiveness and Satisfaction Assessm Attachment C - CDC-POCS Web-based Version of Instrument.docx	Form and Instruction
Attachment A - Respondent Breakdown.docx Att A_Respondent Breakdown	IC Document
Attachment D - Invitation Email.docx Att D_Invitation Email	IC Document
Attachment E - Reminder Email 1.docx Att E_Reminder Email 1	IC Document
Attachment F - Reminder Email 2.docx Att F_Reminder Email 2	IC Document
CDC-POCS-SSA.docx Supporting Statement A	IC Document
CDC-POCS-SSB.docx Supporting Statement B	IC Document

IC Title:

CDC Project Officer Support: SHD Officials Assessment

Agency IC Tracking Number:

0920-0879-20BA

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
Other-WORD			Attachment B - CDC-POCS Word Version of Instrument.docx		No		Paper Only
Form and Instruction	0920-0879	CDC Projct Oficer Effectiveness and Satisfaction Assessment: Instrument Guidance	Attachment C - CDC-POCS Web-based Version of Instrument.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 969

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	969	969
Annual IC Time Burden (Hours)	404	404
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Att A_Respondent Breakdown	Attachment A - Respondent Breakdown.docx	10/24/2019
Att D_Invitation Email	Attachment D - Invitation Email.docx	10/24/2019
Att E_Reminder Email 1	Attachment E - Reminder Email 1.docx	10/24/2019
Att F_Reminder Email 2	Attachment F - Reminder Email 2.docx	10/24/2019
Supporting Statement A	CDC-POCS-SSA.docx	10/24/2019
Supporting Statement B	CDC-POCS-SSB.docx	10/24/2019

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