Year 6 (2021) Customer Satisfaction Survey for the CDC Antibiotic Resistance (AR) Isolate Bank

[NCEZID] 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⚠️ Notice: This information collection may be referencing outdated material.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 0920-1071 can be found here:

Documents and Forms

Document Name Document Type
Form 0920-1071 Year 6 (2021) Customer Satisfaction Survey for the CDC Antibiotic Resistance (AR) Isolate Bank Form and Instruction
Form 0920-1071 Year 6 (2021) Customer Satisfaction Survey for the CDC Antibiotic Resistance (AR) Isolate Bank Form and Instruction
0920-1071 AR Isolate Bank Customer Satisfaction Survey Att 1-AR Isolate Bank - Y6 Customer Satisfaction Survey Items and Emaill_FINALv2_clean.docx Form and Instruction
0920-1071 AR Isolate Bank Customer Satisfaction Survey Att 1-AR Isolate Bank - Y6 Customer Satisfaction Survey Items and Emaill_FINALv2_clean.docx Form and Instruction
Service Delivery Fast Track -AR Isolate Bankv2_clean.docx Service Delivery Fast Track Template IC Document
Service Delivery Fast Track -AR Isolate Bankv2_clean.docx Service Delivery Fast Track Template IC Document

Information Collection (IC) Details

IC Title:	Year 6 (2021) Customer Satisfaction Survey for the CDC Antibiotic Resistance (AR) Isolate Bank	Agency IC Tracking Number:	0920-1071-21FR

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
Form and Instruction	0920-1071	AR Isolate Bank Customer Satisfaction Survey	Att 1-AR Isolate Bank - Y6 Customer Satisfaction Survey Items and Emaill_FINALv2_clean.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title: Epidemiologic Studies and Surveillance of Disease Problems	FR Citation: 57 FR 62812

Number of Respondents: 700	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Previously Approved
Annual Number of Responses for this IC	700	700
Annual IC Time Burden (Hours)	117	117
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Service Delivery Fast Track Template	Service Delivery Fast Track -AR Isolate Bankv2_clean.docx	06/11/2021

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