Customer Satisfaction Survey for CDC AR Isolate Bank

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1071 can be found here:

Documents and Forms

Document Name Document Type
Form 0920-1071 Customer Satisfaction Survey for CDC AR Isolate Bank Form and Instruction
0920-1071 Customer Satisfaction Survey AR Isolate Bank AR Isolate Bank - Y3 Customer Satisfaction Survey Items and email _DRAFT....docx Form and Instruction
AR Isolate Bank - Service Delivery Fast Track Template_v1_2018_07_05.docx Service Delivery Fast Track Template IC Document

Information Collection (IC) Details

IC Title:	Customer Satisfaction Survey for CDC AR Isolate Bank	Agency IC Tracking Number:	0920-1071-18ATA

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
Form and Instruction	0920-1071	Customer Satisfaction Survey AR Isolate Bank	AR Isolate Bank - Y3 Customer Satisfaction Survey Items and email _DRAFT....docx	NA	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title: Epidemiologic Studies and Surveillance of Disease Problems	FR Citation: 57 FR 62812

Number of Respondents: 980	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	980	980
Annual IC Time Burden (Hours)	163	163
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Service Delivery Fast Track Template	AR Isolate Bank - Service Delivery Fast Track Template_v1_2018_07_05.docx	08/02/2018

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