National Authority for Containment of Poliovirus 2020 Poliovirus Containment Webinar Participant Feedback Polling Questions and 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⚠️ Notice: This information collection may be referencing outdated material.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 0920-21BA National Authority for Containment of Poliovirus 2020 Poliovirus Containment Webinar Participant Feedback Polling Questions and Survey Form and Instruction
0920-21BA US NAC Webinar Polling Questions 2020_2021 US NAC Webinar Polling Questions_For clearance.docx Form and Instruction
0920-1050-Customer Service GenIC Clearance Template_NAC polling questions_11052020.pdf GenIC Request PDF IC Document

Information Collection (IC) Details

IC Title:	National Authority for Containment of Poliovirus 2020 Poliovirus Containment Webinar Participant Feedback Polling Questions and Survey	Agency IC Tracking Number:	0920-21BA

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	0920-21BA	US NAC Webinar Polling Questions	2020_2021 US NAC Webinar Polling Questions_For clearance.docx		Yes	No	Fillable Fileable

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 200	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: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	200	200
Annual IC Time Burden (Hours)	50	50
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
GenIC Request PDF	0920-1050-Customer Service GenIC Clearance Template_NAC polling questions_11052020.pdf	11/20/2020

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