OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

CDC-INFO Web-based Satisfaction Survey (for Private Sector Respondents Who Send Email Inquiries)

IC 236803 under ICR 201902-0920-022 · OMB 0920-1050.

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

View Information Collection (IC)

CDC-INFO Web-based Satisfaction Survey (for Private Sector Respondents Who Send Email Inquiries) 0920-19BKT
 
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 (English language) Survey_English.pdf Yes Yes Fillable Fileable
Form and Instruction n/a Survey (Spanish language) Survey_Spanish.pdf Yes Yes Fillable Fileable

Health Consumer Health and Safety

 

120 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 120 0 120 0 0 0
Annual IC Time Burden (Hours) 12 0 12 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Template with Project Description Generic Clearance Submission Template_2019_Email Survey_Private Sector Respondents_2019705.docx 07/08/2019
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.