www.medicalcountermeasures.gov customer site feedback form

Fast Track 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⚠️ Notice: This information collection may be referencing outdated material.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 0990-0379 can be found here:

Documents and Forms

Document Name Document Type
0990-0379 MCM_Website_Questions.docx Other-question
0990-0379 MCM_Website_Questions.docx Other-question
0990-0379-Generic Clearance Submission Template - BARDA MCM_2020.docx memo IC Document
0990-0379-Generic Clearance Submission Template - BARDA MCM_2020.docx memo IC Document

Information Collection (IC) Details

IC Title:	www.medicalcountermeasures.gov customer site feedback form	Agency IC Tracking Number:

IC Status: Unchanged

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
Other-question			0990-0379 MCM_Website_Questions.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 11	Number of Respondents for Small Entity: 0

Affected Public: Federal Government

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Previously Approved
Annual Number of Responses for this IC	11	11
Annual IC Time Burden (Hours)	3	3
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
memo	0990-0379-Generic Clearance Submission Template - BARDA MCM_2020.docx	10/29/2020

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