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Federal forms, ICRs, and supporting documents

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[NCEZID] HHS Protect User Satisfaction Survey

IC 261053 under ICR 202402-0920-010 · OMB 0920-1071.

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

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[NCEZID] HHS Protect User Satisfaction Survey 0920-1071-23GS
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction n/a External User Satisfaction Survey for HHS Protect Users External User Satisfaction Survey for HHS Protect Users.pdf Yes Yes Fillable Fileable

Health Public Health Monitoring

 

500 0
   
State, Local, and Tribal Governments
 
   100 %

  Requested 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 500 0 0 0 0 500
Annual IC Time Burden (Hours) 83 0 0 0 0 83
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Survey Email Invite HHS Protect User Survey External Email Language_final.docx 07/11/2023
Human Subjects Determination Human Subjects Determination.pdf 07/11/2023
GenIC Request Template Service Delivery Fast Track Template_HHS Protect Survey.docx 07/11/2023
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.