Form Approved
OMB No. 0920-0953
Exp. Date 8/31/2021
Subject line: COVID-19 Technical Assistance Feedback
Dear [NAME],
I’m
writing to invite you to provide feedback on the COVID-19 worker
safety and health technical assistance from CDC/NIOSH you received in
2020. We want to know your thoughts about our [SITE VISITS or VIRTUAL
ASSISTANCE] so we can improve our technical assistance efforts for
the COVID-19 response and future responses.
The
survey is voluntary and will take about 12 minutes. The information
you provide will be used for program improvement purposes only,
will not be shared in any way that would identify you or your
organization. NIOSH will keep information you provide private and
secure to the extent permitted by law.
To take the survey, please visit [URL]. It will be open until [DATE].
For additional information about this project, please contact me at [email protected] or 404-498-2581.
Thank you, in advance, for your help with this important project.
Sincerely,
Emily
J.K. Novicki, MA, MPH
Public reporting burden of this collection of information is estimated to average 12 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to - CDC/ATSDR Reports Clearance Officer; 1600 Clifton Road NE, MS D-74, Atlanta, Georgia 30333 ATTN: PRA (0920-0953).
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | Novicki, Emily (CDC/NIOSH/OD) |
File Modified | 0000-00-00 |
File Created | 2021-01-13 |