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

ICR 202404-0920-009

OMB: 0920-1071

Federal Form Document

⚠️ Notice: This information collection may be outdated.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

2024-09-19 - No material or nonsubstantive change to a currently approved collection

Forms and Documents

Document Name	Status
Form 0920-1071 Request for Approval under the "Generic Clearance for the Collection of Routine Customer Feedback" (OMB Control Number: 0920-1071) Form and Instruction	New
Att. E- Human Subjects Determination.pdf Supplementary Document	2024-04-25
Att. B- 60-Day Published Federal Register Notice.pdf Supplementary Document	2024-04-25
Att. A - Section 301 of the Public Health Service Act (42 USC 241).pdf Supplementary Document	2018-01-04
Supporting Statement B_0920-1071.docx Supporting Statement B	2024-04-25
Supporting Statement A_0920-1071.docx Supporting Statement A	2024-04-25

IC Document Collections

IC ID	Document Title	Status
267244	Request for Approval under the "Generic Clearance for the Collection of Routine Customer Feedback" (OMB Control Number: 0920-1071) Form and Instruction	New

ICR Details

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