CDC Packaging and Shipping Division 6.2 Materials eLearning Course Learner Feedback Survey

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Document Name Document Type
Form 0920-1050 CDC Packaging and Shipping Division 6.2 Materials eLearning Course Learner Feedback Survey Form and Instruction
0920-1050 Customer Survey 04_screenshot_instrument_Packaging-Shipping_eLearning_Learner_Feedback_Survey_09-10-2019.pdf Form and Instruction
01_request-for-approval_Packaging-Shipping_elearning_FY2019_09-10-2019.docx Template Request Form IC Document
02_screenshot_course_Packaging-Shipping_eLearning_09-10-2019.pdf Course Info IC Document
03_screenshot_invitation+reminders_Packaging-Shipping_elearning_learner_feedback_survey_09-10-2019.pdf Invitation and Reminders IC Document

Information Collection (IC) Details

IC Title:	CDC Packaging and Shipping Division 6.2 Materials eLearning Course Learner Feedback Survey	Agency IC Tracking Number:	0920-1050-19BRF

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	0920-1050	Customer Survey	04_screenshot_instrument_Packaging-Shipping_eLearning_Learner_Feedback_Survey_09-10-2019.pdf		Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,000	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 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	2,000	2,000
Annual IC Time Burden (Hours)	167	167
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Template Request Form	01_request-for-approval_Packaging-Shipping_elearning_FY2019_09-10-2019.docx	09/18/2019
Course Info	02_screenshot_course_Packaging-Shipping_eLearning_09-10-2019.pdf	09/18/2019
Invitation and Reminders	03_screenshot_invitation+reminders_Packaging-Shipping_elearning_learner_feedback_survey_09-10-2019.pdf	09/18/2019

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