Information Collection

[NCEZID] NORS Data Request Customer Satisfaction Survey

IC 276372 under ICR 202409-0920-009 · OMB 0920-1071.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Survey [NCEZID] NORS Data Request Customer Satisfaction Survey	Form
Survey Survey Final.docx	Form
Service Delivery Fast Track.docx GenIC Request Template	IC Document
Human Subjects Determination.pdf Research Determination	IC Document
NORS Data Release Email Template Release_2025_07_10.docx NORS Data Release Email Template	IC Document

IC Title:

Agency IC Tracking Number:

0920-25-0142

IC Status: New

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	n/a				Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 60

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	60	60
Annual IC Time Burden (Hours)	5	5
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
GenIC Request Template		07/16/2025
Research Determination		07/16/2025
NORS Data Release Email Template		07/16/2025

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

Something went wrong when downloading this file. If you have any questions, please send an email to [email protected].