[ATSDR] 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 0923-0047 NPDS Notification Process Evaluation Survey - WORD	Form and Instruction	New	Available
Form 0923-0047 NPDS Notification Process Evaluation Survey - REDCap	Form and Instruction	New	Repair queued
VSP Feedback Survey	Form and Instruction	New	Available
Form 0923-0047 SVI User Survey	Form and Instruction	New	Available
Att 4 ATSDR 0923-0047 GenlC Request Form.docx	Supplementary Document	Uploaded 2024-11-21	Available
Att 4 ATSDR 0923-0047 GenlC Request Form.docx	Supplementary Document	Uploaded 2024-11-21	Missing upstream
Att 3 STARS project determination.pdf	Supplementary Document	Uploaded 2024-11-21	Available
Att 3 STARS project determination.pdf	Supplementary Document	Uploaded 2024-11-21	Repair queued
Att 2 60D FRN 0923-0047 2024.pdf	Supplementary Document	Uploaded 2024-11-21	Repair queued
Att 2 60D FRN 0923-0047 2024.pdf	Supplementary Document	Uploaded 2024-11-21	Repair queued
1 - ATSDR 0923-0047 Extnsn 2024 SSB.docx	Supporting Statement B	Uploaded 2024-11-21	Available
1 - ATSDR 0923-0047 Extnsn 2024 SSB.docx	Supporting Statement B	Uploaded 2024-11-21	Repair queued
Att 1 EO12862 - Authority.pdf	Supplementary Document	Uploaded 2024-11-21	Available
Att 1 EO12862 - Authority.pdf	Supplementary Document	Uploaded 2024-11-21	Repair queued
1 - ATSDR 0923-0047 Extnsn 2024 SSA 121124.docx	Supporting Statement A	Uploaded 2024-12-11	Available
1 - ATSDR 0923-0047 Extnsn 2024 SSA 121124.docx	Supporting Statement A	Uploaded 2024-12-11	Missing upstream

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
274020	[ATSDR] Survey on CDC NCEH NPDS Health Studies Team's NPDS Process	Form and Instruction	New	NPDS Notification Process Evaluation Survey - WORD
274020	[ATSDR] Survey on CDC NCEH NPDS Health Studies Team's NPDS Process	Form and Instruction	New	NPDS Notification Process Evaluation Survey - REDCap
273758	[ATSDR] VSP Feedback Survey	Form and Instruction	New	VSP Feedback Survey
273680	[ATSDR] Social Vulnerability Index (SVI) User Survey	Form and Instruction	New	SVI User Survey

ICR Details

OMB Control No: 0923-0047	ICR Reference No: 202411-0923-001
Status: Active	Previous ICR Reference No: 202110-0923-002
Agency/Subagency: HHS/TSDR	Agency Tracking No: 0923-0047
Title: [ATSDR] Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 01/13/2025
Retrieve Notice of Action (NOA)	Date Received in OIRA: 12/12/2024
Terms of Clearance: Approved as an extension without changes.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2028	36 Months From Approved	02/28/2025
Responses	24,900	0	24,900
Time Burden (Hours)	21,225	0	21,225
Cost Burden (Dollars)	0	0	0

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Abstract: This collection of 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. Each project-specific information collection (GENIC) will be submitted to OMB for approval. This is an extension request. ATSDR is requesting no changes in the annual time burden of 7,075 hours or in the annual number of respondents of 8,300.

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Authorizing Statute(s): EO: EO 12862 Name/Subject of EO: Setting Customer Service Standards
  

Citations for New Statutory Requirements: None

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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 66722	08/16/2024
30-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 92935	11/25/2024
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 3

table that charts list of burden

IC Title	Form No.	Form Name
[ATSDR] Social Vulnerability Index (SVI) User Survey	0923-0047	SVI User Survey
[ATSDR] Survey on CDC NCEH NPDS Health Studies Team's NPDS Process	0923-0047, 0923-0047	NPDS Notification Process Evaluation Survey - REDCap ,   NPDS Notification Process Evaluation Survey - WORD
[ATSDR] VSP Feedback Survey	n/a	VSP Feedback 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	24,900	24,900	0	0	0	0
Annual Time Burden (Hours)	21,225	21,225	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: $500,000

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.     No

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: 12/12/2024

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