Information Collection

[NCEZID] HHS Protect User Satisfaction Survey

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

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1071 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
[NCEZID] HHS Protect User Satisfaction Survey	Form and Instruction
External User Satisfaction Survey for HHS Protect Users External User Satisfaction Survey for HHS Protect Users.pdf	Form and Instruction
HHS Protect User Survey External Email Language_final.docx Survey Email Invite	IC Document
Human Subjects Determination.pdf Human Subjects Determination	IC Document
Service Delivery Fast Track Template_HHS Protect Survey.docx GenIC Request Template	IC Document

IC Title:

[NCEZID] HHS Protect User Satisfaction Survey

Agency IC Tracking Number:

0920-1071-23GS

IC Status: Unchanged

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	n/a	External User Satisfaction Survey for HHS Protect Users	External User Satisfaction Survey for HHS Protect Users.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 500

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	500	500
Annual IC Time Burden (Hours)	83	83
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.