OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

[NCHHSTP] Customer Service Satisfaction Assessment of Public Health Laboratory Tuberculosis Laboratory Site Visits conducted by CDC DTBE Laboratory Consultants- Online Survey

IC 261371 under ICR 202304-0920-002 · OMB 0920-1027.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
IC Document
Information Collection (IC) Details

View Information Collection (IC)

[NCHHSTP] Customer Service Satisfaction Assessment of Public Health Laboratory Tuberculosis Laboratory Site Visits conducted by CDC DTBE Laboratory Consultants- Online Survey 0920-1027-23HG
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction n/a Site Visit Evaluation SiteVisitEvaluation_CDCDTBELBL_RedCap 8.30.22.pdf Yes Yes Fillable Fileable
Form and Instruction n/a Site Visit Evaluation (word) Site Visit Evaluation_Immediate Followup 8.30.22.docx Yes Yes Fillable Fileable

Health Illness Prevention

 

58 0
   
State, Local, and Tribal Governments
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 58 0 58 0 0 0
Annual IC Time Burden (Hours) 10 0 10 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
GenIC Request Template NCHHSTP_DTBE_LB_Site Visits_2023_Customer Service GenIC Clearance Template_final.docx 08/02/2023
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.