Information Collection

Centers for Disease Control and Prevention's National Contact Center (CDC-INFO) Web-based Satisfaction Survey

IC 250532 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⚠️ Notice: This information collection may be referencing outdated material.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
Form 0920-22AZ 20211025_CDC-INFO Post Chat Survey V5 Centers for Disease Control and Prevention's National Contact Center (CDC-INFO) Web-based Satisfaction Survey	Form and Instruction
0920-22AZ 20211025_CDC-INFO Post Chat Survey V5 20211025_CDC-INFO Post Chat Survey V5.docx	Form and Instruction
Generic Clearance Submission Template_2021_Pilot Chat Survey_Private Sector Respondents_20211018_FINAL.docx Generic Clearance Submission Template_2021_Pilot Chat Survey_Private Sector Respondents_20211018_FINAL	IC Document
Generic Clearance Submission Template_2021_Pilot Chat Survey_Individual Respondents_20211018_FINAL.docx Generic Clearance Submission Template_2021_Pilot Chat Survey_Individual Respondents_20211018_FINAL	IC Document
CDC-INFO Pilot Chat_Survey Monkey Screenshot_Image 1_20211025.JPG CDC-INFO Pilot Chat_Survey Monkey Screenshot_Image 1_20211025	IC Document
CDC-INFO Pilot Chat_Survey Monkey Screenshot_Image 2_20211025.JPG CDC-INFO Pilot Chat_Survey Monkey Screenshot_Image 2_20211025	IC Document
CDC-INFO Pilot Chat_Survey Monkey Screenshot_Image 3_20211025.JPG CDC-INFO Pilot Chat_Survey Monkey Screenshot_Image 3_20211025	IC Document
CDC-INFO Pilot Chat_Survey Monkey Screenshot_Image 4_20211025.JPG CDC-INFO Pilot Chat_Survey Monkey Screenshot_Image 4_20211025	IC Document
CDC-INFO Pilot Chat_Survey Monkey Screenshot_Image 5_20211025.JPG CDC-INFO Pilot Chat_Survey Monkey Screenshot_Image 5_20211025	IC Document

IC Title:

Centers for Disease Control and Prevention's National Contact Center (CDC-INFO) Web-based Satisfaction Survey

Agency IC Tracking Number:

0920-22AZ

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	0920-22AZ				Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 186

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	186	186
Annual IC Time Burden (Hours)	6	6
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Generic Clearance Submission Template_2021_Pilot Chat Survey_Private Sector Respondents_20211018_FINAL		11/24/2021
Generic Clearance Submission Template_2021_Pilot Chat Survey_Individual Respondents_20211018_FINAL		11/24/2021
CDC-INFO Pilot Chat_Survey Monkey Screenshot_Image 1_20211025		11/24/2021
CDC-INFO Pilot Chat_Survey Monkey Screenshot_Image 2_20211025		11/24/2021
CDC-INFO Pilot Chat_Survey Monkey Screenshot_Image 3_20211025		11/24/2021
CDC-INFO Pilot Chat_Survey Monkey Screenshot_Image 4_20211025		11/24/2021
CDC-INFO Pilot Chat_Survey Monkey Screenshot_Image 5_20211025		11/24/2021

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

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