Information Collection

2020 028 Feedback Survey Mapping Doc - CDC Advanced Search Feedback survey

IC 242513 under ICR 201805-1090-003 · OMB 1090-0008.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1090-0008 can be found here:

Documents and Forms

Document Name Document Type
Form 028 2020 028 Feedback Survey Mapping Doc - CDC Advanced Search Feedback survey Form and Instruction
028 2020 028 Feedback Survey Mapping Doc - CDC Advanced Sear 2020 028 Feedback Survey Mapping Doc - CDC Advanced Search Feedback survey.xlsx Form and Instruction
1090-0008-Generic-Clearance-Request-Form-CDCAdvancedSearchFeedbackSurvey-RVerma-signed.pdf 1090-0008-Generic-Clearance-Request-Form-CDCAdvancedSearchFeedbackSurvey-RVerma-signed IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	2020 028 Feedback Survey Mapping Doc - CDC Advanced Search Feedback survey	Agency IC Tracking Number:	028

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	028	2020 028 Feedback Survey Mapping Doc - CDC Advanced Search Feedback survey	2020 028 Feedback Survey Mapping Doc - CDC Advanced Search Feedback survey.xlsx		Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 3,600	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	3,600	3,600
Annual IC Time Burden (Hours)	150	150
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
1090-0008-Generic-Clearance-Request-Form-CDCAdvancedSearchFeedbackSurvey-RVerma-signed	1090-0008-Generic-Clearance-Request-Form-CDCAdvancedSearchFeedbackSurvey-RVerma-signed.pdf	06/30/2020

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