OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

[NCEZID] Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

ICR 202403-0920-013 · OMB 0920-1071 · Active

Forms and Documents
DocumentTypeStatusAvailability
Form 0920-24DC [NCZEID] SBS Excel Tool for Thematic Analysis Feedback Survey Form and Instruction Unchanged Available
Form 0920-24DC [NCZEID] SBS Excel Tool for Thematic Analysis Feedback Survey Form and Instruction Unchanged Repair queued
Form 0920-24CX [NCZEID] DCIPHER External User Satisfaction Survey Form and Instruction Unchanged Repair queued
Form 0920-24CX [NCZEID] DCIPHER External User Satisfaction Survey Form and Instruction Unchanged Repair queued
Form 0920-24BS [NCZEID] Project Firstline Training Completion on CDCs TRAINTCEO Systems Form and Instruction Unchanged Available
Form 0920-24BS [NCZEID] Project Firstline Training Completion on CDCs TRAINTCEO Systems Form and Instruction Unchanged Repair queued
Form 0920-1071-24AU [NCZEID]TB Care Finder Form and Instruction Unchanged Repair queued
Form 0920-1071-24AU [NCZEID]TB Care Finder Form and Instruction Unchanged Missing upstream
[NCEZID] Survey of Nursing Homes to Support a Pilot Test of a National Healthcare Safety Network (NHSN) Electronic Health Record (EHR) Implementation Guide (IG) Form and Instruction Unchanged Repair queued
[NCEZID] Survey of Nursing Homes to Support a Pilot Test of a National Healthcare Safety Network (NHSN) Electronic Health Record (EHR) Implementation Guide (IG) Form and Instruction Unchanged Repair queued
Form 0920-1071 [NCEZID] NHSN Facility End User Survey Form and Instruction Unchanged Available
Form 0920-1071 [NCEZID] NHSN Facility End User Survey Form and Instruction Unchanged Repair queued
Form 0920-1071 DFWED Data System User Feedback Survey Form Unchanged Repair queued
Form 0920-1071 DFWED Data System User Feedback Survey Form Unchanged Repair queued
[NCEZID] HHS Protect User Satisfaction Survey Form and Instruction Unchanged Repair queued
[NCEZID] HHS Protect User Satisfaction Survey Form and Instruction Unchanged Repair queued
[NCEZID] Year 8 (2023) Customer Satisfaction Survey for the CDC Antibiotic Resistance (AR) Isolate Bank Form and Instruction Unchanged Repair queued
[NCEZID] Year 8 (2023) Customer Satisfaction Survey for the CDC Antibiotic Resistance (AR) Isolate Bank Form and Instruction Unchanged Repair queued
Understanding Food Safety in Correctional Settings Form and Instruction Unchanged Repair queued
Understanding Food Safety in Correctional Settings Form and Instruction Unchanged Repair queued
Form 0920-1071 [NCEZID] DCIPHER External User Satisfaction Survey Form and Instruction Unchanged Repair queued
Form 0920-1071 [NCEZID] DCIPHER External User Satisfaction Survey Form and Instruction Unchanged Repair queued
[NCEZID] BEAM Dashboard User Feedback Survey Form and Instruction Unchanged Available
[NCEZID] BEAM Dashboard User Feedback Survey Form and Instruction Unchanged Repair queued
Year 7 (2022) Customer Satisfaction Survey for the CDC Antibiotic Resistance (AR) Isolate Bank Form and Instruction Unchanged Available
Year 7 (2022) Customer Satisfaction Survey for the CDC Antibiotic Resistance (AR) Isolate Bank Form and Instruction Unchanged Repair queued
[2022] The Science Ambassador Fellowship Summer Course Satisfaction Survey [CSELS] Form and Instruction Unchanged Repair queued
[2022] The Science Ambassador Fellowship Summer Course Satisfaction Survey [CSELS] Form and Instruction Unchanged Missing upstream
Form 0920-1070 HAI/AR Program Multi-Drug Resistant Organism (MDRO) Prevention and Response Needs Assessment Survey Form and Instruction Unchanged Available
Form 0920-1070 HAI/AR Program Multi-Drug Resistant Organism (MDRO) Prevention and Response Needs Assessment Survey Form and Instruction Unchanged Missing upstream
Form 0920-1071 Year 6 (2021) Customer Satisfaction Survey for the CDC Antibiotic Resistance (AR) Isolate Bank Form and Instruction Unchanged Available
Form 0920-1071 Year 6 (2021) Customer Satisfaction Survey for the CDC Antibiotic Resistance (AR) Isolate Bank Form and Instruction Unchanged Repair queued
NSCR 21MAR2024.docx Justification for No Material/Nonsubstantive Change Uploaded 2024-03-21 Available
NSCR 21MAR2024.docx Justification for No Material/Nonsubstantive Change Uploaded 2024-03-21 Repair queued
DCIPHER Survey Distro Emails_External STLT Version.docx Supplementary Document Uploaded 2024-03-21 Available
DCIPHER Survey Distro Emails_External STLT Version.docx Supplementary Document Uploaded 2024-03-21 Missing upstream
2024 External DCIPHER User Satisfaction Survey_ForReview.pdf Supplementary Document Uploaded 2024-03-21 Repair queued
2024 External DCIPHER User Satisfaction Survey_ForReview.pdf Supplementary Document Uploaded 2024-03-21 Repair queued
Service Delivery Fast Track Template_DCIPHER Survey.docx Supplementary Document Uploaded 2024-03-21 Available
Service Delivery Fast Track Template_DCIPHER Survey.docx Supplementary Document Uploaded 2024-03-21 Repair queued
NSCR 27FEB2024.docx Justification for No Material/Nonsubstantive Change Uploaded 2024-02-27 Available
NSCR 27FEB2024.docx Justification for No Material/Nonsubstantive Change Uploaded 2024-02-27 Repair queued
Published 30dy211071.pdf Supplementary Document Uploaded 2021-02-12 Available
Published 30dy211071.pdf Supplementary Document Uploaded 2021-02-12 Repair queued
Att. C - Service Delivery Gen-IC Request.docx Supplementary Document Uploaded 2021-02-12 Available
Att. C - Service Delivery Gen-IC Request.docx Supplementary Document Uploaded 2021-02-12 Repair queued
Att. B - 60-Day Published.pdf Supplementary Document Uploaded 2021-02-12 Available
Att. B - 60-Day Published.pdf Supplementary Document Uploaded 2021-02-12 Repair queued
Att. A - Section 301 of the Public Health Service Act (42 USC 241).pdf Supplementary Document Uploaded 2018-01-04 Available
Att. A - Section 301 of the Public Health Service Act (42 USC 241).pdf Supplementary Document Uploaded 2018-01-04 Repair queued
SSB_0920-1071_Extension_2020.docx Supporting Statement B Uploaded 2021-02-12 Repair queued
SSB_0920-1071_Extension_2020.docx Supporting Statement B Uploaded 2021-02-12 Repair queued
SSA_0920-1071_Extension_020121_v2.docx Supporting Statement A Uploaded 2021-02-12 Available
SSA_0920-1071_Extension_020121_v2.docx Supporting Statement A Uploaded 2021-02-12 Missing upstream
IC Document Collections
IC IDCollectionTypeStatusForm
265680 [NCEZID] Year 9 (2024) Customer Satisfaction Survey for the CDC Antibiotic Resistance (AR) Isolate Bank Other-WORD Unchanged
265560 [NCZEID] SBS Excel Tool for Thematic Analysis Feedback Survey Form and Instruction Unchanged
265560 [NCZEID] SBS Excel Tool for Thematic Analysis Feedback Survey Form and Instruction Unchanged
265167 [NCZEID] DCIPHER External User Satisfaction Survey Form and Instruction Unchanged
265167 [NCZEID] DCIPHER External User Satisfaction Survey Form and Instruction Unchanged
264373 [NCZEID] Project Firstline Training Completion on CDCs TRAINTCEO Systems Form and Instruction Unchanged
264373 [NCZEID] Project Firstline Training Completion on CDCs TRAINTCEO Systems Form and Instruction Unchanged
263184 [NCZEID]TB Care Finder Form and Instruction Unchanged
263184 [NCZEID]TB Care Finder Form and Instruction Unchanged
263139 [NCEZID] Survey of Nursing Homes to Support a Pilot Test of a National Healthcare Safety Network (NHSN) Electronic Health Record (EHR) Implementation Guide (IG) Form and Instruction Unchanged
263139 [NCEZID] Survey of Nursing Homes to Support a Pilot Test of a National Healthcare Safety Network (NHSN) Electronic Health Record (EHR) Implementation Guide (IG) Form and Instruction Unchanged
262717 [NCEZID] NHSN Facility End User Survey Form and Instruction Unchanged
262717 [NCEZID] NHSN Facility End User Survey Form and Instruction Unchanged
262153 DFWED Data System User Feedback Survey Form Unchanged
262153 DFWED Data System User Feedback Survey Form Unchanged
261053 [NCEZID] HHS Protect User Satisfaction Survey Form and Instruction Unchanged
261053 [NCEZID] HHS Protect User Satisfaction Survey Form and Instruction Unchanged
261000 [NCEZID] Year 8 (2023) Customer Satisfaction Survey for the CDC Antibiotic Resistance (AR) Isolate Bank Form and Instruction Unchanged
261000 [NCEZID] Year 8 (2023) Customer Satisfaction Survey for the CDC Antibiotic Resistance (AR) Isolate Bank Form and Instruction Unchanged
259021 Understanding Food Safety in Correctional Settings Form and Instruction Unchanged
259021 Understanding Food Safety in Correctional Settings Form and Instruction Unchanged
258886 [NCEZID] DCIPHER External User Satisfaction Survey Form and Instruction Unchanged
258886 [NCEZID] DCIPHER External User Satisfaction Survey Form and Instruction Unchanged
258090 [NCEZID] Evaluation of communication between CDC and Association of Refugee Health Coordinators (ARHC) partners during responses in 2021-2022 Instruction Unchanged
257888 [NCEZID] Improving Traveler Data Exchange Between Health Departments and CDC Division of Global Migration and Quarantine Other-MITRE Project Protocol Unchanged
257756 [NCEZID] BEAM Dashboard User Feedback Survey Form and Instruction Unchanged
257756 [NCEZID] BEAM Dashboard User Feedback Survey Form and Instruction Unchanged
256580 Year 7 (2022) Customer Satisfaction Survey for the CDC Antibiotic Resistance (AR) Isolate Bank Form and Instruction Unchanged
256580 Year 7 (2022) Customer Satisfaction Survey for the CDC Antibiotic Resistance (AR) Isolate Bank Form and Instruction Unchanged
254358 [2022] The Science Ambassador Fellowship Summer Course Satisfaction Survey [CSELS] Form and Instruction Unchanged
254358 [2022] The Science Ambassador Fellowship Summer Course Satisfaction Survey [CSELS] Form and Instruction Unchanged
252302 HAI/AR Program Multi-Drug Resistant Organism (MDRO) Prevention and Response Needs Assessment Survey Form and Instruction Unchanged
252302 HAI/AR Program Multi-Drug Resistant Organism (MDRO) Prevention and Response Needs Assessment Survey Form and Instruction Unchanged
247834 Year 6 (2021) Customer Satisfaction Survey for the CDC Antibiotic Resistance (AR) Isolate Bank Form and Instruction Unchanged
247834 Year 6 (2021) Customer Satisfaction Survey for the CDC Antibiotic Resistance (AR) Isolate Bank Form and Instruction Unchanged
ICR Details
StatusActive
Agency/SubagencyHHS/CDC
OMB Control No0920-1071
Type of Information CollectionNo material or nonsubstantive change to a currently approved collection
Previous ICR Reference No202402-0920-010
Agency Tracking No0920-1071
Date Submitted to OIRA2024-03-22
Requested Expiration Date1969-12-31