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

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 0920-26-0161 Webinar Session Survey	Form	New	Repair queued
Form 0920-26-0161 Course Evaluation Form Addendum	Form	New	Repair queued
Form 0920-26-0161 Follow-up Survey	Form	New	Repair queued
Form 0920-26-0161 Post-Event Survey	Form	New	Repair queued
Form 0920-26-0161 Registration Form	Form	New	Repair queued
Form 0920-1071 Project Firstline Feedback Form	Form	New	Repair queued
Form 0920-1050 Survey of All Facilities Enrolled in NHSN HV Module - Post-Survey	Form and Instruction	New	Repair queued
Form 0920-1050 Survey of All Facilities Enrolled in NHSN HV Module - Pre-Survey	Form and Instruction	New	Repair queued
Survey	Form	New	Repair queued
Project Firstline Education & Training Evaluation Feedback Form	Form and Instruction	New	Repair queued
Form 0920-1071 CDC Course Evaluation Form Addendum	Form and Instruction	New	Repair queued
Form 0920-1071 Infection Prevention (IP) Excellence: Comprehensive Training for Safe Healthcare Practices Evaluation Survey	Form and Instruction	New	Repair queued
Form 0920-1071 Infection Prevention (IP) Excellence: Comprehensive Training for Safe Healthcare Registration Form	Form and Instruction	New	Repair queued
AR Isolate Bank Troubleshooting Form	Form and Instruction	New	Repair queued
AR Isolate Bank Troubleshooting	Form and Instruction	New	Repair queued
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	Removed	Available
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	Removed	Repair queued
Change Request Memo 0920-1071_burden correction.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2024-09-16	Repair queued
Change Request Memo 0920-1071_burden correction.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2024-09-16	Repair queued
Att. E- Human Subjects Determination.pdf	Supplementary Document	Uploaded 2024-04-25	Repair queued
Att. E- Human Subjects Determination.pdf	Supplementary Document	Uploaded 2024-04-25	Repair queued
Att. B- 60-Day Published Federal Register Notice.pdf	Supplementary Document	Uploaded 2024-04-25	Repair queued
Att. B- 60-Day Published Federal Register Notice.pdf	Supplementary Document	Uploaded 2024-04-25	Repair queued
Att. A - Section 301 of the Public Health Service Act (42 USC 241).pdf	Supplementary Document	Uploaded 2018-01-04	Repair queued
Att. A - Section 301 of the Public Health Service Act (42 USC 241).pdf	Supplementary Document	Uploaded 2018-01-04	Repair queued
Supporting Statement B_0920-1071.docx	Supporting Statement B	Uploaded 2024-04-25	Available
Supporting Statement B_0920-1071.docx	Supporting Statement B	Uploaded 2024-04-25	Repair queued
Supporting Statement A_0920-1071_edit 091724.docx	Supporting Statement A	Uploaded 2024-09-17	Repair queued
Supporting Statement A_0920-1071_edit 091724.docx	Supporting Statement A	Uploaded 2024-09-17	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
279751	[NCZEID] Infection Prevention (IP) Excellence: Comprehensive Training for Safe Healthcare Practices	Form	New	Webinar Session Survey
279751	[NCZEID] Infection Prevention (IP) Excellence: Comprehensive Training for Safe Healthcare Practices	Form	New	Course Evaluation Form Addendum
279751	[NCZEID] Infection Prevention (IP) Excellence: Comprehensive Training for Safe Healthcare Practices	Form	New	Follow-up Survey
279751	[NCZEID] Infection Prevention (IP) Excellence: Comprehensive Training for Safe Healthcare Practices	Form	New	Post-Event Survey
279751	[NCZEID] Infection Prevention (IP) Excellence: Comprehensive Training for Safe Healthcare Practices	Form	New	Registration Form
277304	Project Firstline Education & Training Evaluation Feedback Form	Form	New	Project Firstline Feedback Form
277268	[NCEZID] Survey for Soliciting Feedback on NHSN Hemovigilance Module User Experience	Form and Instruction	New	Survey of All Facilities Enrolled in NHSN HV Module - Post-Survey
277268	[NCEZID] Survey for Soliciting Feedback on NHSN Hemovigilance Module User Experience	Form and Instruction	New	Survey of All Facilities Enrolled in NHSN HV Module - Pre-Survey
276372	[NCEZID] NORS Data Request Customer Satisfaction Survey	Form	New	Survey
275175	[NCEZID] Project Firstline (PFL) Education and Training Feedback Form	Form and Instruction	New	Project Firstline Education & Training Evaluation Feedback Form
272517	Infection Prevention (IP) Excellence: Comprehensive Training for Safe Healthcare Practices Registration Form	Form and Instruction	New	CDC Course Evaluation Form Addendum
272517	Infection Prevention (IP) Excellence: Comprehensive Training for Safe Healthcare Practices Registration Form	Form and Instruction	New	Infection Prevention (IP) Excellence: Comprehensive Training for Safe Healthcare Practices Evaluation Survey
272517	Infection Prevention (IP) Excellence: Comprehensive Training for Safe Healthcare Practices Registration Form	Form and Instruction	New	Infection Prevention (IP) Excellence: Comprehensive Training for Safe Healthcare Registration Form
271157	[NCEZID] AR Isolate Bank Troubleshooting Form	Form and Instruction	New	AR Isolate Bank Troubleshooting Form
271097	[NCEZID] AR Isolate Bank Troubleshooting Form	Form and Instruction	New	AR Isolate Bank Troubleshooting
267244	Request for Approval under the "Generic Clearance for the Collection of Routine Customer Feedback" (OMB Control Number: 0920-1071)	Form and Instruction	Removed	Request for Approval under the “Generic Clearance for the Collection of Routine Customer Feedback” (OMB Control Number: 0920-1071)
267244	Request for Approval under the "Generic Clearance for the Collection of Routine Customer Feedback" (OMB Control Number: 0920-1071)	Form and Instruction	Removed

ICR Details

OMB Control No: 0920-1071	ICR Reference No: 202409-0920-009
Status: Active	Previous ICR Reference No: 202404-0920-009
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-1071
Title: [NCEZID] Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 09/20/2024
Retrieve Notice of Action (NOA)	Date Received in OIRA: 09/19/2024
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2027	06/30/2027	06/30/2027
Responses	8,100	0	5,800
Time Burden (Hours)	5,000	0	5,000
Cost Burden (Dollars)	0	0	0

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Abstract: This is a generic ICR. The collection of this information is necessary to enable the Agency to garner customer and stakeholder feedback in an efficient, timely manner, in accordance with our commitment to improving service delivery. The information collected from our customers and stakeholders will help ensure that users have an effective, efficient, and satisfying experience with the Agency's programs; and allow feedback to contribute directly to the improvement of program management. The feedback will provide insights into customer or stakeholder perceptions, experiences and expectations; provide an early warning of issues with service; focus attention on areas where communication, training or changes in operations might improve delivery of products or services; and allow for ongoing collaborative and actionable communications between the Agency and its customers and stakeholders. This change request is to simply correct a burden admin error.

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Authorizing Statute(s): EO: EO 12862 Name/Subject of EO: Setting Customer Service Standards
   US Code: 42 USC 241 Name of Law: The Public Health and Welfare
  

Citations for New Statutory Requirements: US Code: 42 USC 241 Name of Law: Public Health Services Act

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 4304	01/23/2024
30-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 38155	05/07/2024
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 8

table that charts list of burden

IC Title	Form No.	Form Name
Infection Prevention (IP) Excellence: Comprehensive Training for Safe Healthcare Practices Registration Form	0920-1071, 0920-1071, 0920-1071	Infection Prevention (IP) Excellence: Comprehensive Training for Safe Healthcare Registration Form ,   Infection Prevention (IP) Excellence: Comprehensive Training for Safe Healthcare Practices Evaluation Survey ,   CDC Course Evaluation Form Addendum
Project Firstline Education & Training Evaluation Feedback Form	0920-1071	Project Firstline Feedback Form
Request for Approval under the "Generic Clearance for the Collection of Routine Customer Feedback" (OMB Control Number: 0920-1071)	0920-1071	Request for Approval under the “Generic Clearance for the Collection of Routine Customer Feedback” (OMB Control Number: 0920-1071)
[NCEZID] AR Isolate Bank Troubleshooting Form	n/a	AR Isolate Bank Troubleshooting
[NCEZID] AR Isolate Bank Troubleshooting Form	n/a	AR Isolate Bank Troubleshooting Form
[NCEZID] NORS Data Request Customer Satisfaction Survey	n/a	Survey
[NCEZID] Project Firstline (PFL) Education and Training Feedback Form	n/a	Project Firstline Education & Training Evaluation Feedback Form
[NCEZID] Survey for Soliciting Feedback on NHSN Hemovigilance Module User Experience	0920-1050, 0920-1050	Survey of All Facilities Enrolled in NHSN HV Module - Pre-Survey ,   Survey of All Facilities Enrolled in NHSN HV Module - Post-Survey
[NCZEID] Infection Prevention (IP) Excellence: Comprehensive Training for Safe Healthcare Practices	0920-26-0161, 0920-26-0161, 0920-26-0161, 0920-26-0161, 0920-26-0161	Registration Form ,   Post-Event Survey ,   Follow-up Survey ,   Course Evaluation Form Addendum ,   Webinar Session Survey

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	8,100	5,800	0	2,300	0	0
Annual Time Burden (Hours)	5,000	5,000	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $50,000

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 09/19/2024

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