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Federal forms, ICRs, and supporting documents

Information Collection

Year 4 (2019) Customer Satisfaction Survey for the CDC Antibiotic Resistance (AR) Isolate Bank

IC 236913 under ICR 201711-0920-019 · OMB 0920-1071.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
IC Document
Information Collection (IC) Details

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Year 4 (2019) Customer Satisfaction Survey for the CDC Antibiotic Resistance (AR) Isolate Bank 0920-19BLJ
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction n/a Survey and Accompanying Emails ATT1~MRN.DOC Yes Yes Fillable Fileable

Health Public Health Monitoring

Epidemiologic Studies and Surveillance of Disease Problems  57 FR 62812

1,437 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   100 %

  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 1,437 0 1,437 0 0 0
Annual IC Time Burden (Hours) 240 0 240 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Template with Project Description and Justifiation Att 3 - AR Isolate Bank - Service Delivery Fast Track Template.docx 07/16/2019
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.