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.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1050 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
CDC-INFO Web-based Satisfaction Survey (for Private Sector Respondents Who Send Email Inquiries)	Form and Instruction
Survey (English language) Survey_English.pdf	Form and Instruction
Survey (Spanish language) Survey_Spanish.pdf	Form and Instruction
Generic Clearance Submission Template_2019_Email Survey_Private Sector Respondents_2019705.docx Template with Project Description	IC Document

IC Title:

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

Agency IC Tracking Number:

0920-19BKT

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
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

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 120

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	120	120
Annual IC Time Burden (Hours)	12	12
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.