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

ICR 202005-0920-010

OMB: 0920-1027

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
New
Supplementary Document
2020-06-02
Supplementary Document
2020-06-02
Supplementary Document
2020-06-02
Supplementary Document
2020-06-02
Supporting Statement B
2020-06-02
Supporting Statement A
2020-06-02
ICR Details
0920-1027 202005-0920-010
Active 201705-0920-017
HHS/CDC 0920-14AMW
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (NCHHSTP)
Extension without change of a currently approved collection   No
Regular
Approved without change 08/07/2020
Retrieve Notice of Action (NOA) 06/02/2020
Previous terms continue: OMB approves this collection for a period of three years. To request approval of information collections under this generic approval, the agency must do the following: 1) Unless an agency is using multiple modes of collection (e.g., paper forms and electronic submissions), provide a Generic Clearance Submission Template for each Instrument; 2) If the agency is using multiple modes of collection (e.g., paper forms and electronic submissions), the same Generic Clearance Submission Template may be used for both instruments; 3) each Generic Clearance Submission Template must be uploaded as a Supplementary document using a naming convention that allows the public to identify the associated instrument; 4) submit no more than five Generic Submission Templates with each request.
  Inventory as of this Action Requested Previously Approved
08/31/2023 36 Months From Approved 08/31/2020
42,660 0 42,660
29,070 0 29,070
0 0 0

This collection of information is necessary to enable the Agency to garner customer and stakeholder feedback in an efficient, timely manner, in accordance with our commitment to improving service delivery. The information collected from our customers and stakeholders will continue to ensure that users have an effective, efficient, and satisfying experience with the Agency's programs.

US Code: 42 USC Section 301 Name of Law: Public Health Service Act
   EO: EO 12862 Name/Subject of EO: Setting Customer Service Standards
  
None

Not associated with rulemaking

  85 FR 13650 03/09/2020
85 FR 33672 06/02/2020
Yes

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 42,660 42,660 0 0 0 0
Annual Time Burden (Hours) 29,070 29,070 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$370,500
Yes Part B of Supporting Statement
    No
    No
No
No
No
No
Renita Macaluso 770 488-6458 [email protected]

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
06/02/2020


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