Information Collection Request

[OADC] CDC Usability and Digital Content Testing

ICR 202505-0920-006 · OMB 0920-1050 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
CSP Feedback Questionnaire Form and Instruction Unchanged Available
[NCIPC] Comprehensive Suicide Prevention (CSP) Evaluation Learning Network Questionnaire Form and Instruction Unchanged Repair queued
Form 0920-25-0011 2025 CDC-INFO Email Survey SPANISH Form Unchanged Available
Form 0920-25-0011 2025 CDC-INFO Email Survey ENGLISH Form Unchanged Available
Form 0920-25-0011 [OADC] CDC-INFO Web-based Satisfaction Survey Form Unchanged Repair queued
Form 0920-25-0053 Post-site Survey Form Unchanged Repair queued
Form 0920-25-0053 [CPR]NAC Post-visit Survey Form Unchanged Available
Form 0920-1050 Tools for Overdose Prevention Survey Form and Instruction Unchanged Available
Form 0920-1050 Recruitment Letter Form and Instruction Unchanged Available
Form 0920-1050 Translating Evidence to Practice Implementation Tools for Preventing Overdose Form and Instruction Unchanged Repair queued
Form 25-0009 2025 CDC-INFO IVR Survey SPANISH Form Unchanged Available
Form 25-0009 2025 CDC-INFO IVR Survey ENGLISH Form Unchanged Available
Form 25-0009 [OACD] CDC-INFO IVR Survey - Individual Form Unchanged Missing upstream
Form 0920-1050 National Syndromic Surveillance Program (NSSP) Community of Practice (CoP) Survey Form and Instruction Unchanged Available
Form 0920-1050 [OPHDST] National Syndromic Surveillance (NSSP) Community of Practice (CoP) Survey Form and Instruction Unchanged Repair queued
Form 0920-1050 CDC Biosafety ECHO Surveys_Compiled Demographic, Post Session, Follow-Up Form and Instruction Unchanged Available
Form 0920-1050 [OLSS] Project ECHO Biosafety Community of Practice: Demographic and Follow-up Surveys Form and Instruction Unchanged Repair queued
Form 0920-25CS WAI Learning Community Survey Form Unchanged Available
Form 0920-25CS [OPHDST] WAI Learning Community Survey Form Unchanged Repair queued
WAI Technical Assistance Follow-up Survey Form and Instruction Unchanged Available
[OPHDST] Workforce Acceleration Initiative (WAI) Technical Assistance Follow-up Survey Form and Instruction Unchanged Missing upstream
WAI Mentorship Survey Form and Instruction Unchanged Available
[OPHDST] Workforce Acceleration Initiative (WAI) Mentorship Survey Form and Instruction Unchanged Repair queued
Form 0920-1050 WAI - RETENTION SURVEY Form and Instruction Unchanged Available
Form 0920-1050 [OPHDST] Workforce Acceleration Initiative (WAI) Retention Survey Form and Instruction Unchanged Repair queued
Form 0920-1050 (25CE) 2025 CDC Division of Workforce Development (DWD) Fellowship Webinar Customer Service Feedback Survey Form and Instruction Unchanged Available
Form 0920-1050 (25CE) 2025 CDC Division of Workforce Development (DWD) Fellowship Webinar Customer Service Feedback Survey Form and Instruction Unchanged Repair queued
Form 0920-25BW CDC eICR Data Project - Discussion Guide Form Unchanged Available
Form 0920-25BW [OPHDST] eICR Data Project Form Unchanged Missing upstream
Form 0920-1050 Education and Training Needs Assessment – Survey Questions _2024 Form and Instruction Unchanged Available
Form 0920-1050 Survey for Soliciting Feedback on National Healthcare Safety Network Education and Training Assessment Form and Instruction Unchanged Repair queued
Form 0920-25BH ECHO Survey Form Unchanged Available
Form 0920-25BH [OLSS] Project ECHO Biosafety Community of Practice: Registration and Follow-up Surveys Form Unchanged Repair queued
Form 0920-1050 Workforce Acceleration Initiative (WAI) Public Health Agency Narrative Reports (24AS) Form and Instruction Unchanged Available
Form 0920-1050 [OPHDST] Workforce Acceleration Initiative (WAI) Public Health Agency Narrative Reports Form and Instruction Unchanged Repair queued
Form 0920-25AK ADPHA Survey Form Unchanged Available
Form 0920-25AK [OPHDST] Advancing Data for Public Health Action Partner Survey Form Unchanged Repair queued
Verint Foresee Survey Questions Form and Instruction Unchanged Available
[OADC] CDC Digital Content Customer Satisfaction Survey Form and Instruction Unchanged Repair queued
Form 0920-1050 DEIA Mentorship Program Pre Program Form and Instruction Unchanged Available
Form 0920-1050 DEIA Mentorship Program Post Program Form and Instruction Unchanged Available
Form 0920-1050 [NCIRD] DEIA Mentorship Program Form and Instruction Unchanged Repair queued
Form 0929-1050 Consent Form - Spanish Form and Instruction Unchanged Available
Form 0929-1050 Focus Group Guide - Spanish Form and Instruction Unchanged Available
Form 0929-1050 Recruitment Screener - Spanish Form and Instruction Unchanged Available
Form 0929-1050 Consent Form - English Form and Instruction Unchanged Available
Form 0929-1050 Focus Group Guide - English Form and Instruction Unchanged Available
Form 0929-1050 Recruitment Screener - English Form and Instruction Unchanged Available
Form 0929-1050 [NCIPC] Essentials for Parenting Toddlers Customer Service Feedback Form and Instruction Unchanged Repair queued
Form 0920-1050 CDC Threat Agnostic Program - Survey Form and Instruction Unchanged Available
Form 0920-1050 [ORR] CDC Threat Agnostic Program Engagement Form Form and Instruction Unchanged Repair queued
Form 0920-1050 Guiding Questions for the PHHS Block Grant and PHIG Listening Session Form and Instruction Unchanged Available
Form 0920-1050 [PHIC] PHHS Block Grant and PHIG Listening Sessions (2024) Form and Instruction Unchanged Repair queued
Form 0920-1050 Series Feedback Form Form and Instruction Unchanged Available
Form 0920-1050 [NCEZID] 2024 Infection Prevention and Control Webinar Training Series - Post Event (Series) Feedback Form and Instruction Unchanged Repair queued
Form 0920-1050 Session Feedback Form Form and Instruction Unchanged Available
Form 0920-1050 [NCEZID] 2024 Infection Prevention and Control Webinar Training Series - Post Event (Session) Feedback Form and Instruction Unchanged Repair queued
Form 0920-24HF Feedback Survey Form Unchanged Available
Form 0920-24HF [PHIC] Strategic Scholars Program Feedback Survey 2024 Form Unchanged Repair queued
Form 0920-1050 Participant Trainings Survey Form and Instruction Unchanged Available
Form 0920-1050 [ORR] DSLR Training Survey Form and Instruction Unchanged Repair queued
Post Session Feedback Form Form and Instruction Unchanged Repair queued
[GHC] Frontline Healthcare Workforce Strengthening Project Form and Instruction Unchanged Repair queued
Form 0920-1050 Individual TA Feedback Form and Instruction Unchanged Available
Form 0920-1050 Group TA Feedback Form and Instruction Unchanged Available
Form 0920-1050 [NCIPC] Core State Injury Prevention Program (Core SIPP) Form and Instruction Unchanged Repair queued
Form 0920-1050 Discussions for Improving Case Data Entry Workflows Form and Instruction Unchanged Available
Form 0920-1050 [OPHDST] Discussions for Improving Case Data Entry Workflows Form and Instruction Unchanged Repair queued
Form 0920-1050 CDC USABILITY AND DIGITAL CONTENT TESTING Content Feedback-A/B Comparison-Design Feedback-Data Visualization Tests Form and Instruction Unchanged Available
Form 0920-1050 CDC Usability and Digital Content Testing Form and Instruction Unchanged Repair queued
Form 0920-1050 eCR Viewer (DIBBs) Online Survey via Touchpoints Form Unchanged Available
Form 0920-1050 [OPHDST] : eCR Viewer Data Integration Building Blocks (DIBBs) Online Survey Form Unchanged Missing upstream
Form 0920-1050 Recruitment Screener Form and Instruction Unchanged Available
Form 0920-1050 Post-Study Interview Form and Instruction Unchanged Available
Form 0920-1050 Weeks 4-5 Task Questions Form and Instruction Unchanged Available
Form 0920-1050 Weeks 2-3 Task Questions Form and Instruction Unchanged Available
Form 0920-1050 Week 1 Task Questions Form and Instruction Unchanged Available
Form 0920-1050 Pre-Study Meeting Form and Instruction Unchanged Available
Form 0920-1050 My Family Health Portrait Usability Study Form and Instruction Unchanged Missing upstream
Form 0920-24FX SOR Engagement Survey Form Unchanged Available
Form 0920-24FX [CPR] NAC Statement of Responsibility (SOR) Survey Form Unchanged Available
Post Site Visit Survey Form and Instruction Unchanged Available
[CPR] Post Visit Survey for Facility Evaluation of US National Authority for Containment of Poliovirus (NAC) Performance and Improvement Form and Instruction Unchanged Repair queued
2024 Evaluator Network Survey Form and Instruction Unchanged Available
[NCCDPHP] 2024 Evaluators' Network, Member Survey Form and Instruction Unchanged Missing upstream
Form 0920-1050 ReportStream Usability Survey Form and Instruction Unchanged Available
Form 0920-1050 [OPHDST] ReportStream Usability Survey Form and Instruction Unchanged Repair queued
Form 0920-24EW Virtual Post-Event Survey Form Unchanged Available
Form 0920-24EW In-Person Post-Event Survey Form Unchanged Available
Form 0920-24EW [PHIC] 2024 Public Health Improvement Training (PHIT) Reaction Surveys - STLT Attendees Form Unchanged Repair queued
LTF Tour/Visit Evaluation Survey Form and Instruction Unchanged Available
[OLSS] Laboratory Training Facility (LTF): Tours/Visits Form and Instruction Unchanged Repair queued
Form 0920-1050 Post-Event Survey for Virtual Attendees Form and Instruction Unchanged Available
Form 0920-1050 Post-Event Survey for In-Person Attendees Form and Instruction Unchanged Available
Form 0920-1050 [PHIC] 2024 Public Health Improvement Training (PHIT) Reaction Surveys – Private Sector Attendees Form and Instruction Unchanged Repair queued
Form 0920-1050 2024 Clinical Laboratory Partners Forum Survey (24EN) Form Unchanged Available
Form 0920-1050 Clinical Laboratory Partners Forum Meeting Evaluation Survey 2024 Form Unchanged Repair queued
Form 0920-1050 NBS User Training Material Preference Survey Form and Instruction Unchanged Available
Form 0920-1050 [OPHDST] National Electronic Disease Surveillance System Base System User Training Material Preference Survey Form and Instruction Unchanged Repair queued
Form 0920-1050-2ED eFSAP Survey Form and Instruction Unchanged Available
Form 0920-1050-2ED [CPR] eFSAP information System Survey Form and Instruction Unchanged Repair queued
2024 EIS Match Customer Service Feedback Survey Form and Instruction Unchanged Available
2024 EIS Conference Customer Service Feedback Survey Form and Instruction Unchanged Available
[PHIC] 2024 Epidemic Intelligence Service (EIS) Conference and Match Customer Service Feedback Surveys Form and Instruction Unchanged Missing upstream
Form 0920-1050 Annual IPP Survey (External Users) Form and Instruction Unchanged Available
Form 0920-1050 [CPR] Annual Import Permit Program Survey (genIC) Form and Instruction Unchanged Repair queued
Form 0920-1050-24DX 2024 Science Ambassador Regional Training Workshop Satisfaction Survey Form Unchanged Available
Form 0920-1050-24DX [PHIC] 2024 Science Ambassador Regional Training Workshop Satisfaction Survey Form Unchanged Available
Talking about Naloxone survey Form and Instruction Unchanged Available
[NCIPC] Three-Month Survey: Module WB4518, Talking about Naloxone Form and Instruction Unchanged Repair queued
Form 0920-1050 Focus Group - Subject matter experts in populations Form and Instruction Unchanged Available
Form 0920-1050 Survey - Subject matter experts in populations Form and Instruction Unchanged Available
Form 0920-1050 Focus Group - Jurisdictional public health staff members Form and Instruction Unchanged Available
Form 0920-1050 Survey - Jurisdictional public health staff members Form and Instruction Unchanged Available
Form 0920-1050 [OPHDST] Jurisdictional Staff Feedback to Improve Case Interview Training Form and Instruction Unchanged Repair queued
Form 0920-1050-24DG 0920-1050 NBS User Feedback Survey_Att A Form and Instruction Unchanged Available
Form 0920-1050-24DG [CSELS] GenIC, "NBS Page Builder Demo User Feedback Survey Form and Instruction Unchanged Repair queued
Personal Interview Guide Form and Instruction Unchanged Repair queued
Focus Group Interview Guide Form and Instruction Unchanged Available
[NCCDPHP] User Feedback – U.S. Cancer Statistics Public Use Databases – State Health Department Form and Instruction Unchanged Repair queued
Personal Interview Guide Form and Instruction Unchanged Available
Focus Group Interview Guide Form and Instruction Unchanged Available
[NCCDPHP] User Feedback – U.S. Cancer Statistics Public Use Databases – Private Sector Form and Instruction Unchanged Repair queued
Form 0920-1050 CDC Flu Usability Survey Form and Instruction Unchanged Available
Form 0920-1050 [OADC] CDC Flu Usability Testing Form and Instruction Unchanged Repair queued
Form 0920-1050 Homeless Management Information System (HMIS) and Immunization Information System (IIS) Data Sharing/Data Partnership Survey Form and Instruction Unchanged Available
Form 0920-1050 [OPHDST] HMIS and IIS Integration Survey to Improve Vaccination Rate Tracking among People Experiencing Homelessness (PEH) Form and Instruction Unchanged Repair queued
Form 0920-1050 Shiriki Protocol New Member_Webinar Feedback Form Form and Instruction Unchanged Available
Form 0920-1050 [CGH] Shiriki Virtual Community Annual Planning Survey Form and Instruction Unchanged Repair queued
Form 0920-1050 DWD Fellowship Webinar Customer Service Feedback Survey Form and Instruction Unchanged Available
Form 0920-1050 [PHIC] 2024 CDC Division of Workforce Development (DWD) Fellowship Webinar Customer Service Feedback Survey Form and Instruction Unchanged Repair queued
Form 0920-1050 2024 ECHO Survey - Demographic/Session/Follow-Up Form and Instruction Unchanged Available
Form 0920-1050 [CLSR/DLS] Project ECHO Biosafety Community of Practice Demographic and Follow-up Surveys Form and Instruction Unchanged Available
Form 0920-1050 Semi-Structured Discussion Guides - Improving Services of Vaccination Rate Tracking Form and Instruction Unchanged Available
Form 0920-1050 Improving Services of Vaccination Rate Tracking among People Experiencing Homelessness (PEH) Form and Instruction Unchanged Repair queued
Form 0920-1050 APHL-CDC Fellowship/Internship/Genomic Data Internship Survey Form and Instruction Unchanged Available
Form 0920-1050 [CSELS_DSL] APHL-CDC Career Pathways in Public Health Laboratory Science Program Surveys Form and Instruction Unchanged Repair queued
Focus Group Interview Outline Form and Instruction Unchanged Available
[OPHDST] Focus Groups to Provide Feedback on the FY 2024 Public Health Data Strategy Goals and Milestones Form and Instruction Unchanged Missing upstream
Introduction to Laboratory Safety for Non-Laboratory Staff Form and Instruction Unchanged Available
Fundamentals of Laboratory Safety for Short-Term Visitors Form and Instruction Unchanged Available
[OLSS] CDC Laboratory Courses for External Audiences Learner Feedback Survey Form and Instruction Unchanged Repair queued
Form 0920-1050 RVR Data Dashboard cdc.gov feedback survey Form and Instruction Unchanged Available
Form 0920-1050 [OPHDST] Respiratory Virus Response (RVR) Website Content Feedback Survey Form and Instruction Unchanged Repair queued
Form 0920-24AF TA Feedback Survey Instrument_0920-1050 GenIC Form and Instruction Unchanged Available
Form 0920-24AF [NCCDPHP] Prevention Research Centers (PRC) Program Technical Assistance Feedback Survey Form and Instruction Unchanged Repair queued
Form 0920-1050 2023 OneLab Summit Feedback Form and Instruction Unchanged Available
Form 0920-1050 [CSELS] CLSRDLS CDC OneLab Summit Evaluation Form and Instruction Unchanged Repair queued
Survey and Invitation Form and Instruction Unchanged Repair queued
[OS] User Experience Survey to Understand What's Working and What Can be Improved with National Electronic Disease Surveillance System (NEDSS) Base System (NBS) Form and Instruction Unchanged Repair queued
Form 0920-23HN Att1- PHEM ELP Training Feedback Form and Instruction Unchanged Available
Form 0920-23HN [CPR]ORR - Public Health Emergency Management (PHEM) Emerging Leadership Program (ELP) Training Feedback Form and Instruction Unchanged Repair queued
Form 0920-23HO Att1_PH_LEADS_2023_0920-1050surveyword Form and Instruction Unchanged Available
Form 0920-23HO [CSELS] [PHIC] PH LEADS Post-training Evaluation (2023) Form and Instruction Unchanged Repair queued
Form 0920-1050 Recipient Follow Up Form for Individual TA Form and Instruction Unchanged Available
Form 0920-1050 Recipient Feedback Form for Individual TA Form and Instruction Unchanged Available
Form 0920-1050 Participant Feedback Form for Peer Learning Communities Form and Instruction Unchanged Available
Form 0920-1050 Participant Feedback Form for Group Learning Events Form and Instruction Unchanged Available
Form 0920-1050 [NCIPC] Violence Prevention Technical Assistance Center Participant Feedback Forms Form and Instruction Unchanged Repair queued
Form 0920-23HI 02_CLPF Meeting Evaluation Survey_2023.09.25 in Qualtrics Form and Instruction Unchanged Available
Form 0920-23HI [CSELS] CLSR/DLS CLPF Meeting Evaluation Survey 2023 Form and Instruction Unchanged Missing upstream
Survey Instrument CDC PRC Program Team Form and Instruction Unchanged Available
Survey Instrument CDC Team Form and Instruction Unchanged Available
[NCCDPHP] Prevention Research Centers (PRC) Program Technical Assistance Feedback Survey Form and Instruction Unchanged Missing upstream
Form 0920-1050 Clinical Practice Guideline Outreach and Communication Materials Feedback Form and Instruction Unchanged Available
Form 0920-1050 Clinical Practice Guideline Outreach and Communication Materials Feedback Form and Instruction Unchanged Repair queued
Form 0920-23GW Interview Guide Form and Instruction Unchanged Available
Form 0920-23GW [CGH] ADDIE Model Analysis Form and Instruction Unchanged Repair queued
Form 0920-1050 VetoViolence Training Satisfaction Survey and Informed Consent Form and Instruction Unchanged Available
Form 0920-1050 [NCIPC] VetoViolence Training Satisfaction Survey Form and Instruction Unchanged Repair queued
Form 0920-1050-23GI USCS _GOV SECTOR Form and Instruction Unchanged Available
Form 0920-1050-23GI [NCCDPHP] US Cancer Statistics Data Visualizations Tool -Government Sector Form and Instruction Unchanged Repair queued
Form 0920-23GI Customer Service GenIC Clearance_USCS-DataViz_Private-Sector_Attachment-1 Form and Instruction Unchanged Available
Form 0920-23GI [NCCDPHP] USCS Data Visualizations Tool- Private Sector Form and Instruction Unchanged Available
Form 0920-1050-23GH Att 1_Epi Info User Survey_Final Form and Instruction Unchanged Available
Form 0920-1050-23GH [CSELS] Epi Info User Survey Form and Instruction Unchanged Repair queued
Form 0920-1050 Cancer Screening Change Package Evaluation Survey Form and Instruction Unchanged Available
Form 0920-1050 [NCCDPHP] Cancer Screening Change Package Evaluation Form and Instruction Unchanged Repair queued
Form 0920-23GD Attachment A - SSP Instrument Word Version Form and Instruction Unchanged Available
Form 0920-23GD [CSLS] Strategic Scholars Program Participant Feedback Survey Form and Instruction Unchanged Repair queued
Form 0920-1050 2023 CDC Science Ambassador Fellowship Exit Survey Form and Instruction Unchanged Available
CDC Science Ambassador Fellowship Summer Course Satisfaction Survey Form and Instruction Unchanged Available
[CSELS] Science Ambassador Fellowship (SAF) Summer Course Satisfaction Survey (2023) Form and Instruction Unchanged Missing upstream
Form 0920-1050 DMI Evaluation Survey Form and Instruction Unchanged Available
Form 0920-1050 [OS] DMI Evaluation Survey for soliciting feedback on the Data Modernization Initiative Learning Community (DMI LC) Form and Instruction Unchanged Repair queued
Form 0920-1050 CDC-INFO Pilot Live Chat Customer Satisfaction Survey - Page 2 Form and Instruction Unchanged Available
Form 0920-1050 2023 CDC-INFO Pilot Live Chat Customer Satisfaction Survey Form and Instruction Unchanged Available
Form 0920-1050 2023 CDC-INFO Pilot Chatbot Customer Satisfaction Survey Form and Instruction Unchanged Available
Form 0920-1050 CDC-INFO Web-based Satisfaction Survey for the Chatbot Tool & People Using Live Chat Service Form and Instruction Unchanged Repair queued
Form 0920-1050 SimpleReport Website_Web Application Survey Form and Instruction Unchanged Available
Form 0920-1050 [OS] SimpleReport Touchpoint Surveys v2 Form and Instruction Unchanged Available
Form 0920-1050 Family Health Profiles Form Unchanged Available
Form 0920-1050 My Family Health Portrait:Cancer Mobile Application Evaluation Question Form and Instruction Unchanged Available
Form 0920-1050 My Family Health Portrait Cancer mobile application Form and Instruction Unchanged Repair queued
Universal Engagement Panel Screener Form and Instruction Unchanged Available
[OD] Focus Groups to Identify Customers' Pain Points and Opportunities in Collecting, Managing, and Using Data – to Inform the Design of Building Blocks Form and Instruction Unchanged Repair queued
Form 0920-1050 DSLR Tools and Resources Survey Form and Instruction Unchanged Available
Form 0920-1050 [ORR] DSLR Tools and Resources Survey Form and Instruction Unchanged Repair queued
Form 0920-23EJ AttachD_Instrument4_Post-Event Survey for Virtual Attendees_PHIT2023 Form and Instruction Unchanged Available
Form 0920-23EJ AttachC_Instrument3_Post-Event Survey for In-Person Attendees_PHIT2023 Form and Instruction Unchanged Available
Form 0920-23EJ AttachB_Instrument2_Special Session Survey _PHIT2023 Form and Instruction Unchanged Available
Form 0920-23EJ AttachA_Instrument1_Skill-Building Workshop Survey _PHIT2023 Form and Instruction Unchanged Available
Form 0920-23EJ [CSTLTS] 2023 Public Health Improvement Training Reaction Surveys – Private Sector Attendees Form and Instruction Unchanged Repair queued
Form 0920-1050 CDC 1815/1817 Recipient Satisfaction Survey Form and Instruction Unchanged Repair queued
Form 0920-1050 [OADC] CDC DDT Recipient Satisfaction Survey Form and Instruction Unchanged Repair queued
2023 Annual Evaluators' Network Member Survey Form and Instruction Unchanged Available
[NCCDPHP] 2023 Annual Evaluators' Network Member Survey Form and Instruction Unchanged Repair queued
Form 0920-1050 DSLR Participant Trainings Survey Form and Instruction Unchanged Available
Form 0920-1050 [ORR] DSLR Training Survey Form and Instruction Unchanged Repair queued
Form 0920-1050 On-TRAC Customer Feedback Survey Form and Instruction Unchanged Available
Form 0920-1050 [ORR] OnTrac Survey Form and Instruction Unchanged Repair queued
Post-Event Survey for Virtual Attendees Form and Instruction Unchanged Available
Post-Event Survey for In-Person Attendees Form and Instruction Unchanged Available
Special Session Survey Form and Instruction Unchanged Available
Skill-Building Workshop Survey Form and Instruction Unchanged Available
[CSTLTS] 2023 Public Health Improvement Training Attendee Reaction Surveys - Private Sector Attendees Form and Instruction Unchanged Repair queued
Post-Event Survey for Virtual Attendees Form and Instruction Unchanged Available
Post-Event Survey for In-Person Attendees Form and Instruction Unchanged Available
Special Session Survey Form and Instruction Unchanged Available
Skill-Building Workshop Survey Form and Instruction Unchanged Available
[CSTLTS] 2023 Public Health Improvement Training Attendee Reaction Surveys - STLT Attendees Form and Instruction Unchanged Repair queued
ELI Mentor End of Year Survey Form and Instruction Unchanged Available
ELI Fellow End of Year Survey Form and Instruction Unchanged Available
[CSELS] ELI Fellowship End of Year Survey Form and Instruction Unchanged Repair queued
2023 EIS Match Customer Service Feedback Survey Form and Instruction Unchanged Available
2023 EIS Conference Customer Service Feedback Survey Form and Instruction Unchanged Available
2023 Epidemic Intelligence Service (EIS) Conference and Match Feedback Surveys Form and Instruction Unchanged Available
Form 0920-1050 2023 CDC DWD Fellowship Webinar Customer Service Feedback Survey Screenshots Form and Instruction Unchanged Available
Form 0920-1050 DOH TA Satisfaction Survey Form and Instruction Unchanged Available
Form 0920-1050 [OS NCCDPHP] Award Management Platform Customer Satisfaction Surveys-Division of Oral Health Form and Instruction Unchanged Repair queued
Question Pool for CDC Foundation Form and Instruction Unchanged Available
Form 0920-23CE Att 1_0920-1050_2023_Sci_Amb_Rgnl_Training_Wkshp_Cust_Sat_Survey_subm Form and Instruction Unchanged Available
Form 0920-23CE [CSELS] Science Ambassador Regional Training Workshop Form and Instruction Unchanged Repair queued
Post-Program Interview Discussion Guide Form and Instruction Unchanged Available
Post-Program Assessment Instrument Form and Instruction Unchanged Available
In-Person Session Assessment Instrument Form and Instruction Unchanged Available
In-Person Post-Session Assessment Instrument Form and Instruction Unchanged Available
Orientation Assessment Instrument Form and Instruction Unchanged Available
[OADPS] Feedback on Innovation Hub Training (2023) Form and Instruction Unchanged Available
Form 0920-1050 Customer Feedback Survey about the Electronic Federal Select Agent Program (eFSAP) Form and Instruction Unchanged Available
Form 0920-1050 Electronic Federal Select Agent Program (eFSAP) Information System Survey Form and Instruction Unchanged Repair queued
Form 0920-1050 CDC-INFO Telephone Service Customer Satisfaction Survey - Spanish Form and Instruction Unchanged Repair queued
Form 0920-1050 CDC-INFO Telephone Service Customer Satisfaction Survey - English Form and Instruction Unchanged Repair queued
Form 0920-1050 [OD] CDC-INFO IVR Customer Satisfaction Survey - Individual Respondent - Phone Form and Instruction Unchanged Repair queued
Form 0920-1050 CDC-INFO Email Service - Customer Satisfaction Survey - Spanish Form and Instruction Unchanged Available
Form 0920-1050 CDC-INFO Email Service - Customer Satisfaction Survey - English Form and Instruction Unchanged Available
Form 0920-1050 [OD] CDC-INFO Web-based Customer Satisfaction Survey - Private Sector - Email Form and Instruction Unchanged Repair queued
Form 0920-1050 CDC-INFO Email Service - Customer Satisfaction Survey - Spanish Form and Instruction Unchanged Available
Form 0920-1050 CDC-INFO Email Service - Customer Satisfaction Survey - English Form and Instruction Unchanged Available
Form 0920-1050 [OD] CDC-INFO Web-based Customer Satisfaction Survey - Individual Respondent - Email Form and Instruction Unchanged Repair queued
Form 0920-1050 CDC-INFO Telephone Service Customer Satisfaction Survey - Spanish Form and Instruction Unchanged Repair queued
Form 0920-1050 CDC-INFO Telephone Service Customer Satisfaction Survey - English Form and Instruction Unchanged Available
Form 0920-1050 [OD] CDC-INFO IVR Customer Satisfaction Survey - Private Sector - Phone Form and Instruction Unchanged Repair queued
Interview Protocol for Opioid Rapid Response Patient Absorption Interviews Form and Instruction Unchanged Available
[NCIPC] Opioid Rapid Response Patient Absorption Interviews Form and Instruction Unchanged Missing upstream
CLPF Meeting Evaluation Survey Form and Instruction Unchanged Available
Clinical Laboratory Partners Forum Meeting Evaluation Survey 2022 Form and Instruction Unchanged Repair queued
1) Registration Survey; 2) Post-Session Survey Questions; 3) CDC Biosafety ECHO Follow-up Surveys Form and Instruction Unchanged Available
[CSELS] Project ECHO Biosafety Community of Practice: Registration and Follow-up Surveys (2022-2023) Form and Instruction Unchanged Repair queued
Form 0920-25-0112 CDC UX Digital Content Usability Testing Form Modified Available
Form 0920-1050 Usability Testing / Digital Content Testing Form (Moderated/Unmoderated) Form and Instruction Modified Available
Form 0920-1050 [OADC] 2022 CDC Usability Testing and Digital Content Testing Form and Instruction Modified Repair queued
Form 0920-1050 American Indian, Alaska Native, Native Hawaiian Career Expo Post Event Survey Form and Instruction Unchanged Available
Form 0920-1050 American Indian, Alaska Native, Native Hawaiian Career Expo Post-Event Survey Form and Instruction Unchanged Missing upstream
Form 0920-23AE CDC VDAT HD Customer Satisfaction Survey Form and Instruction Unchanged Available
Form 0920-23AE Centers for Disease Control and Prevention (CDC) Vaccine Distribution and Administration Tracking (VDAT) Help Desk (HD) Customer Satisfaction (CSAT) Survey Form and Instruction Unchanged Repair queued
Form 0920-1050 American Indian, Alaska Native, Native Hawaiian Career Expo Post-Event Survey Form and Instruction Unchanged Available
Form 0920-1050 American Indian, Alaska Native, Native Hawaiian Career Expo Post-Event Survey Form and Instruction Unchanged Repair queued
Form 0920-1050 Screener & Geotagging Beta Survey Form Unchanged Available
Form 0920-1050 PHDI Geotagging Beta Survey Form Unchanged Repair queued
Form 0920-1050 Focus Group to Improve the Surveillance Data Lifecycle Form and Instruction Unchanged Available
Form 0920-1050 Focus Groups to identify pain points and opportunities in collecting, managing, and using data to inform the design of Building Blocks Form and Instruction Unchanged Repair queued
2023 CDC Epidemic Intelligence Service Candidate Feedback Survey (screen shots) Form and Instruction Unchanged Available
[CSELS, 2022] 2023 CDC Epidemic Intelligence Service Candidate Feedback Survey Form and Instruction Unchanged Repair queued
Form 0920-1050 Strategic Scholars Program End-of -Cohort Survery Form and Instruction Unchanged Available
Form 0920-1050 Strategic Scholars Program Participant Feedback Survey Form and Instruction Unchanged Repair queued
Form 0920-1050 Usability Testing Script for CCSM CDS Interface Form and Instruction Unchanged Available
Form 0920-1050 Pilot Evaluation for Cervical Cancer Clinical Decision Support Tools Form and Instruction Unchanged Repair queued
Form 0920-1050 Customer Satisfaction Survey Form and Instruction Unchanged Available
Form 0920-1050 ETSB Customer Satisfaction Survey Form and Instruction Unchanged Repair queued
Form 0920-1050 Participant Screener (English Groups) Form and Instruction Unchanged Available
Form 0920-1050 My Mobility Product Testing Activities Form and Instruction Unchanged Missing upstream
Form 0920-1050 2022 ECHO Registration and Post-Session Survey Questions Form and Instruction Unchanged Available
Form 0920-1050 Project ECHO Biosafety Community of Practice: Registration and Follow-up Surveys Form and Instruction Unchanged Repair queued
Form 0920-1050 Training Assessment Form Form and Instruction Unchanged Available
Form 0920-1050 Participant Assessment of Science Integrity Branch (SIB) Trainings (2022-2024) Form and Instruction Unchanged Repair queued
Form 0920-1050-22HB Att1-eIPPSurvey Form and Instruction Unchanged Available
Form 0920-1050-22HB Electronic Import Permit Program (eIPP) Information System Survey Form and Instruction Unchanged Repair queued
Form 0920-1050 User Experience Survey Form and Instruction Unchanged Available
Form 0920-1050 Regulated Entity Technology Survey Form and Instruction Unchanged Repair queued
Form 0920-1050 DMI Evaluation Survey_2022 Form and Instruction Unchanged Available
Form 0920-1050 Strengthening Public Health Systems and Services through National Partnerships to Improve and Protect the Nation's Health CoAg Form and Instruction Unchanged Repair queued
Change Request Memo - EO14168 - CDC Usability and Digital Content Testing - final.docx Justification for No Material/Nonsubstantive Change Uploaded 2025-05-14 Available
Change Request Memo - EO14168 - CDC Usability and Digital Content Testing - final.docx Justification for No Material/Nonsubstantive Change Uploaded 2025-05-14 Repair queued
Customer Service GenIC Clearance Template.docx Supplementary Document Uploaded 2022-05-13 Available
Customer Service GenIC Clearance Template.docx Supplementary Document Uploaded 2022-05-13 Repair queued
60 Day FRN.pdf Supplementary Document Uploaded 2022-05-13 Available
60 Day FRN.pdf Supplementary Document Uploaded 2022-05-13 Repair queued
SSB fast track_final.docx Supporting Statement B Uploaded 2022-05-13 Repair queued
SSB fast track_final.docx Supporting Statement B Uploaded 2022-05-13 Repair queued
SSA fast track_final.docx Supporting Statement A Uploaded 2022-05-13 Available
SSA fast track_final.docx Supporting Statement A Uploaded 2022-05-13 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
274497 [NCIPC] Comprehensive Suicide Prevention (CSP) Evaluation Learning Network Questionnaire Form and Instruction UnchangedCSP Feedback Questionnaire
274497 [NCIPC] Comprehensive Suicide Prevention (CSP) Evaluation Learning Network Questionnaire Form and Instruction Unchanged
274472 [OADC] CDC-INFO Web-based Satisfaction Survey Form Unchanged2025 CDC-INFO Email Survey SPANISH
274472 [OADC] CDC-INFO Web-based Satisfaction Survey Form Unchanged2025 CDC-INFO Email Survey ENGLISH
274472 [OADC] CDC-INFO Web-based Satisfaction Survey Form Unchanged
274471 [CPR]NAC Post-visit Survey Form UnchangedPost-site Survey
274471 [CPR]NAC Post-visit Survey Form Unchanged
274300 Translating Evidence to Practice Implementation Tools for Preventing Overdose Form and Instruction UnchangedTools for Overdose Prevention Survey
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260637 [CSELS] Science Ambassador Fellowship (SAF) Summer Course Satisfaction Survey (2023) Form and Instruction UnchangedCDC Science Ambassador Fellowship Summer Course Satisfaction Survey
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259798 [CSTLTS] 2023 Public Health Improvement Training Attendee Reaction Surveys - Private Sector Attendees Form and Instruction UnchangedSpecial Session Survey
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259752 [CSTLTS] 2023 Public Health Improvement Training Attendee Reaction Surveys - STLT Attendees Form and Instruction UnchangedPost-Event Survey for In-Person Attendees
259752 [CSTLTS] 2023 Public Health Improvement Training Attendee Reaction Surveys - STLT Attendees Form and Instruction UnchangedSpecial Session Survey
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256930 [OD] CDC-INFO Web-based Customer Satisfaction Survey - Individual Respondent - Email Form and Instruction UnchangedCDC-INFO Email Service - Customer Satisfaction Survey - English
256930 [OD] CDC-INFO Web-based Customer Satisfaction Survey - Individual Respondent - Email Form and Instruction Unchanged
256929 [OD] CDC-INFO IVR Customer Satisfaction Survey - Private Sector - Phone Form and Instruction UnchangedCDC-INFO Telephone Service Customer Satisfaction Survey - Spanish
256929 [OD] CDC-INFO IVR Customer Satisfaction Survey - Private Sector - Phone Form and Instruction UnchangedCDC-INFO Telephone Service Customer Satisfaction Survey - English
256929 [OD] CDC-INFO IVR Customer Satisfaction Survey - Private Sector - Phone Form and Instruction Unchanged
256874 [NCIPC] Special Emphasis Panel (SEP) Peer Review Evaluation Other-WORD Unchanged
256844 [NCIPC] Opioid Rapid Response Patient Absorption Interviews Form and Instruction UnchangedInterview Protocol for Opioid Rapid Response Patient Absorption Interviews
256844 [NCIPC] Opioid Rapid Response Patient Absorption Interviews Form and Instruction Unchanged
256766 Clinical Laboratory Partners Forum Meeting Evaluation Survey 2022 Form and Instruction UnchangedCLPF Meeting Evaluation Survey
256766 Clinical Laboratory Partners Forum Meeting Evaluation Survey 2022 Form and Instruction Unchanged
256765 [OADC] CDC Taxonomy Testing Other-WORD Unchanged
256754 [CSELS] Project ECHO Biosafety Community of Practice: Registration and Follow-up Surveys (2022-2023) Form and Instruction Unchanged1) Registration Survey; 2) Post-Session Survey Questions; 3) CDC Biosafety ECHO Follow-up Surveys
256754 [CSELS] Project ECHO Biosafety Community of Practice: Registration and Follow-up Surveys (2022-2023) Form and Instruction Unchanged
256748 [OADC] 2022 CDC Usability Testing and Digital Content Testing Form ModifiedCDC UX Digital Content Usability Testing
256748 [OADC] 2022 CDC Usability Testing and Digital Content Testing Form and Instruction ModifiedUsability Testing / Digital Content Testing Form (Moderated/Unmoderated)
256748 [OADC] 2022 CDC Usability Testing and Digital Content Testing Form and Instruction Modified
256500 American Indian, Alaska Native, Native Hawaiian Career Expo Post-Event Survey Form and Instruction UnchangedAmerican Indian, Alaska Native, Native Hawaiian Career Expo Post Event Survey
256500 American Indian, Alaska Native, Native Hawaiian Career Expo Post-Event Survey Form and Instruction Unchanged
256484 Centers for Disease Control and Prevention (CDC) Vaccine Distribution and Administration Tracking (VDAT) Help Desk (HD) Customer Satisfaction (CSAT) Survey Form and Instruction UnchangedCDC VDAT HD Customer Satisfaction Survey
256484 Centers for Disease Control and Prevention (CDC) Vaccine Distribution and Administration Tracking (VDAT) Help Desk (HD) Customer Satisfaction (CSAT) Survey Form and Instruction Unchanged
256316 American Indian, Alaska Native, Native Hawaiian Career Expo Post-Event Survey Form and Instruction UnchangedAmerican Indian, Alaska Native, Native Hawaiian Career Expo Post-Event Survey
256316 American Indian, Alaska Native, Native Hawaiian Career Expo Post-Event Survey Form and Instruction Unchanged
256203 PHDI Geotagging Beta Survey Form UnchangedScreener & Geotagging Beta Survey
256203 PHDI Geotagging Beta Survey Form Unchanged
256129 Focus Groups to identify pain points and opportunities in collecting, managing, and using data to inform the design of Building Blocks Form and Instruction UnchangedFocus Group to Improve the Surveillance Data Lifecycle
256129 Focus Groups to identify pain points and opportunities in collecting, managing, and using data to inform the design of Building Blocks Form and Instruction Unchanged
255932 [CSELS, 2022] 2023 CDC Epidemic Intelligence Service Candidate Feedback Survey Form and Instruction Unchanged2023 CDC Epidemic Intelligence Service Candidate Feedback Survey (screen shots)
255932 [CSELS, 2022] 2023 CDC Epidemic Intelligence Service Candidate Feedback Survey Form and Instruction Unchanged
255872 Strategic Scholars Program Participant Feedback Survey Form and Instruction UnchangedStrategic Scholars Program End-of -Cohort Survery
255872 Strategic Scholars Program Participant Feedback Survey Form and Instruction Unchanged
255604 Pilot Evaluation for Cervical Cancer Clinical Decision Support Tools Form and Instruction UnchangedUsability Testing Script for CCSM CDS Interface
255604 Pilot Evaluation for Cervical Cancer Clinical Decision Support Tools Form and Instruction Unchanged
255489 ETSB Customer Satisfaction Survey Form and Instruction UnchangedCustomer Satisfaction Survey
255489 ETSB Customer Satisfaction Survey Form and Instruction Unchanged
255311 My Mobility Product Testing Activities Form and Instruction UnchangedParticipant Screener (English Groups)
255311 My Mobility Product Testing Activities Form and Instruction Unchanged
255311 My Mobility Product Testing Activities Instruction Unchanged
254975 Project ECHO Biosafety Community of Practice: Registration and Follow-up Surveys Form and Instruction Unchanged2022 ECHO Registration and Post-Session Survey Questions
254975 Project ECHO Biosafety Community of Practice: Registration and Follow-up Surveys Form and Instruction Unchanged
254966 Participant Assessment of Science Integrity Branch (SIB) Trainings (2022-2024) Form and Instruction UnchangedTraining Assessment Form
254966 Participant Assessment of Science Integrity Branch (SIB) Trainings (2022-2024) Form and Instruction Unchanged
254563 Electronic Import Permit Program (eIPP) Information System Survey Form and Instruction UnchangedAtt1-eIPPSurvey
254563 Electronic Import Permit Program (eIPP) Information System Survey Form and Instruction Unchanged
254431 Regulated Entity Technology Survey Form and Instruction UnchangedUser Experience Survey
254431 Regulated Entity Technology Survey Form and Instruction Unchanged
254429 Strengthening Public Health Systems and Services through National Partnerships to Improve and Protect the Nation's Health CoAg Form and Instruction UnchangedDMI Evaluation Survey_2022
254429 Strengthening Public Health Systems and Services through National Partnerships to Improve and Protect the Nation's Health CoAg Form and Instruction Unchanged

ICR Details

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table that charts list comparision
  Inventory as of this Action Requested Previously Approved
06/30/2025 06/30/2025 06/30/2025
216,000 0 216,000
66,750 0 66,750
0 0 0





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table that charts list of burden
IC Title Form No. Form Name
Participant Assessment of Science Integrity Branch (SIB) Trainings (2022-2024) 0920-1050
American Indian, Alaska Native, Native Hawaiian Career Expo Post-Event Survey 0920-1050
Pilot Evaluation for Cervical Cancer Clinical Decision Support Tools 0920-1050
2023 Epidemic Intelligence Service (EIS) Conference and Match Feedback Surveys n/a, n/a ,  
2025 CDC Division of Workforce Development (DWD) Fellowship Webinar Customer Service Feedback Survey 0920-1050 (25CE)
American Indian, Alaska Native, Native Hawaiian Career Expo Post-Event Survey 0920-1050
CDC Usability and Digital Content Testing 0920-1050
CDC-INFO Web-based Satisfaction Survey for the Chatbot Tool & People Using Live Chat Service 0920-1050, 0920-1050, 0920-1050 ,   ,  
Case Service Design: A Day in the Life Qualitative Study
Centers for Disease Control and Prevention (CDC) Vaccine Distribution and Administration Tracking (VDAT) Help Desk (HD) Customer Satisfaction (CSAT) Survey 0920-23AE
Clinical Laboratory Partners Forum Meeting Evaluation Survey 2022 n/a
Clinical Laboratory Partners Forum Meeting Evaluation Survey 2024 0920-1050
Clinical Practice Guideline Outreach and Communication Materials Feedback 0920-1050
ETSB Customer Satisfaction Survey 0920-1050
Electronic Federal Select Agent Program (eFSAP) Information System Survey 0920-1050
Electronic Import Permit Program (eIPP) Information System Survey 0920-1050-22HB
Focus Groups to identify pain points and opportunities in collecting, managing, and using data to inform the design of Building Blocks 0920-1050
Identifying customers' pain points and opportunities to collect, manage, and use data to inform the design of shared services between CDC and state, territorial, and local ph authoriities n/a
Improving Services of Vaccination Rate Tracking among People Experiencing Homelessness (PEH) 0920-1050
My Family Health Portrait Cancer mobile application 0920-1050
My Family Health Portrait Usability Study 0920-1050, 0920-1050, 0920-1050, 0920-1050, 0920-1050, 0920-1050 ,   ,   ,   ,   ,  
My Mobility Product Testing Activities 0920-1050
PHDI Geotagging Beta Survey 0920-1050
Project ECHO Biosafety Community of Practice: Registration and Follow-up Surveys 0920-1050
Regulated Entity Technology Survey 0920-1050
Strategic Scholars Program Participant Feedback Survey 0920-1050
Strengthening Public Health Systems and Services through National Partnerships to Improve and Protect the Nation's Health CoAg 0920-1050
Survey for Soliciting Feedback on National Healthcare Safety Network Education and Training Assessment 0920-1050
Translating Evidence to Practice Implementation Tools for Preventing Overdose 0920-1050, 0920-1050 ,  
[CGH] ADDIE Model Analysis 0920-23GW
[CGH] Shiriki Virtual Community Annual Planning Survey 0920-1050
[CLSR/DLS] Project ECHO Biosafety Community of Practice Demographic and Follow-up Surveys 0920-1050
[CPR] Annual Import Permit Program Survey (genIC) 0920-1050
[CPR] NAC Statement of Responsibility (SOR) Survey 0920-24FX
[CPR] Post Visit Survey for Facility Evaluation of US National Authority for Containment of Poliovirus (NAC) Performance and Improvement n/a
[CPR] eFSAP information System Survey 0920-1050-2ED
[CPR]NAC Post-visit Survey 0920-25-0053
[CPR]ORR - Public Health Emergency Management (PHEM) Emerging Leadership Program (ELP) Training Feedback 0920-23HN
[CSELS, 2022] 2023 CDC Epidemic Intelligence Service Candidate Feedback Survey None
[CSELS] 2023 CDC DWD Fellowship Webinar Customer Feedback Survey 0920-1050
[CSELS] 2023 CDC Science Ambassador Fellowship Exit Survey 0920-1050
[CSELS] CLSR/DLS CLPF Meeting Evaluation Survey 2023 0920-23HI
[CSELS] CLSRDLS CDC OneLab Summit Evaluation 0920-1050
[CSELS] ELI Fellowship End of Year Survey n/a, n/a ,  
[CSELS] Epi Info User Survey 0920-1050-23GH
[CSELS] GenIC, "NBS Page Builder Demo User Feedback Survey 0920-1050-24DG
[CSELS] Project ECHO Biosafety Community of Practice: Registration and Follow-up Surveys (2022-2023) None
[CSELS] Science Ambassador Fellowship (SAF) Summer Course Satisfaction Survey (2023) None
[CSELS] Science Ambassador Regional Training Workshop 0920-23CE
[CSELS] [PHIC] PH LEADS Post-training Evaluation (2023) 0920-23HO
[CSELS_DSL] APHL-CDC Career Pathways in Public Health Laboratory Science Program Surveys 0920-1050
[CSLS] Strategic Scholars Program Participant Feedback Survey 0920-23GD
[CSTLTS] 2023 Public Health Improvement Training Attendee Reaction Surveys - Private Sector Attendees None, None, None, None ,   ,   ,  
[CSTLTS] 2023 Public Health Improvement Training Attendee Reaction Surveys - STLT Attendees None, None, None, None ,   ,   ,  
[CSTLTS] 2023 Public Health Improvement Training Reaction Surveys – Private Sector Attendees 0920-23EJ, 0920-23EJ, 0920-23EJ, 0920-23EJ ,   ,   ,  
[GHC] Frontline Healthcare Workforce Strengthening Project n/a
[NCCDPHP] 2023 Annual Evaluators' Network Member Survey None
[NCCDPHP] 2024 Evaluators' Network, Member Survey n/a
[NCCDPHP] Cancer Screening Change Package Evaluation 0920-1050
[NCCDPHP] My Family Health Portrait Cancer mobile application 0920-1050
[NCCDPHP] Prevention Research Centers (PRC) Program Technical Assistance Feedback Survey 0920-24AF
[NCCDPHP] Prevention Research Centers (PRC) Program Technical Assistance Feedback Survey n/a, n/a ,  
[NCCDPHP] US Cancer Statistics Data Visualizations Tool -Government Sector 0920-1050-23GI
[NCCDPHP] USCS Data Visualizations Tool- Private Sector 0920-23GI
[NCCDPHP] User Feedback – U.S. Cancer Statistics Public Use Databases – Private Sector n/a, n/a ,  
[NCCDPHP] User Feedback – U.S. Cancer Statistics Public Use Databases – State Health Department n/a, n/a ,  
[NCEZID] 2024 Infection Prevention and Control Webinar Training Series - Post Event (Series) Feedback 0920-1050
[NCEZID] 2024 Infection Prevention and Control Webinar Training Series - Post Event (Session) Feedback 0920-1050
[NCIPC] Comprehensive Suicide Prevention (CSP) Evaluation Learning Network Questionnaire n/a
[NCIPC] Core State Injury Prevention Program (Core SIPP) 0920-1050, 0920-1050 ,  
[NCIPC] Essentials for Parenting Toddlers Customer Service Feedback 0929-1050, 0929-1050, 0929-1050, 0929-1050, 0929-1050, 0929-1050 ,   ,   ,   ,   ,  
[NCIPC] Opioid Rapid Response Patient Absorption Interviews None
[NCIPC] Special Emphasis Panel (SEP) Peer Review Evaluation
[NCIPC] Three-Month Survey: Module WB4518, Talking about Naloxone n/a
[NCIPC] VetoViolence Training Satisfaction Survey 0920-1050
[NCIPC] Violence Prevention Technical Assistance Center Participant Feedback Forms 0920-1050, 0920-1050, 0920-1050, 0920-1050 ,   ,   ,  
[NCIRD] DEIA Mentorship Program 0920-1050, 0920-1050 ,  
[OACD] CDC-INFO IVR Survey - Individual 25-0009, 25-0009 ,  
[OADC] 2022 CDC Usability Testing and Digital Content Testing 0920-1050, 0920-25-0112 ,  
[OADC] CDC DDT Recipient Satisfaction Survey 0920-1050
[OADC] CDC Digital Content Customer Satisfaction Survey n/a
[OADC] CDC Flu Usability Testing 0920-1050
[OADC] CDC Taxonomy Testing
[OADC] CDC-INFO Web-based Satisfaction Survey 0920-25-0011, 0920-25-0011 ,  
[OADPS] Feedback on Innovation Hub Training (2023) None, None, None, None, None ,   ,   ,   ,  
[OD] CDC-INFO IVR Customer Satisfaction Survey - Individual Respondent - Phone 0920-1050, 0920-1050 ,  
[OD] CDC-INFO IVR Customer Satisfaction Survey - Private Sector - Phone 0920-1050, 0920-1050 ,  
[OD] CDC-INFO Web-based Customer Satisfaction Survey - Individual Respondent - Email 0920-1050, 0920-1050 ,  
[OD] CDC-INFO Web-based Customer Satisfaction Survey - Private Sector - Email 0920-1050, 0920-1050 ,  
[OD] Focus Groups to Identify Customers' Pain Points and Opportunities in Collecting, Managing, and Using Data – to Inform the Design of Building Blocks n/a
[OLSS] CDC Laboratory Courses for External Audiences Learner Feedback Survey n/a, n/a ,  
[OLSS] Laboratory Training Facility (LTF): Tours/Visits n/a
[OLSS] Project ECHO Biosafety Community of Practice: Demographic and Follow-up Surveys 0920-1050
[OLSS] Project ECHO Biosafety Community of Practice: Registration and Follow-up Surveys 0920-25BH
[OPHDST] : eCR Viewer Data Integration Building Blocks (DIBBs) Online Survey 0920-1050
[OPHDST] Advancing Data for Public Health Action Partner Survey 0920-25AK
[OPHDST] Discussions for Improving Case Data Entry Workflows 0920-1050
[OPHDST] Focus Groups to Provide Feedback on the FY 2024 Public Health Data Strategy Goals and Milestones n/a
[OPHDST] HMIS and IIS Integration Survey to Improve Vaccination Rate Tracking among People Experiencing Homelessness (PEH) 0920-1050
[OPHDST] Jurisdictional Staff Feedback to Improve Case Interview Training 0920-1050, 0920-1050, 0920-1050, 0920-1050 ,   ,   ,  
[OPHDST] MVPS CaseBridge
[OPHDST] National Electronic Disease Surveillance System Base System User Training Material Preference Survey 0920-1050
[OPHDST] National Syndromic Surveillance (NSSP) Community of Practice (CoP) Survey 0920-1050
[OPHDST] ReportStream Usability Survey 0920-1050
[OPHDST] Respiratory Virus Response (RVR) Website Content Feedback Survey 0920-1050
[OPHDST] WAI Learning Community Survey 0920-25CS
[OPHDST] Workforce Acceleration Initiative (WAI) Mentorship Survey n/a
[OPHDST] Workforce Acceleration Initiative (WAI) Public Health Agency Narrative Reports 0920-1050
[OPHDST] Workforce Acceleration Initiative (WAI) Retention Survey 0920-1050
[OPHDST] Workforce Acceleration Initiative (WAI) Technical Assistance Follow-up Survey n/a
[OPHDST] eICR Data Project 0920-25BW
[ORR] DSLR Tools and Resources Survey 0920-1050
[ORR] CDC Threat Agnostic Program Engagement Form 0920-1050
[ORR] DSLR Training Survey 0920-1050
[ORR] DSLR Training Survey 0920-1050
[ORR] OnTrac Survey 0920-1050
[OS NCCDPHP] Award Management Platform Customer Satisfaction Surveys-Division of Oral Health 0920-1050
[OS] DMI Evaluation Survey for soliciting feedback on the Data Modernization Initiative Learning Community (DMI LC) 0920-1050
[OS] SimpleReport Touchpoint Surveys v2 0920-1050
[OS] User Experience Survey to Understand What's Working and What Can be Improved with National Electronic Disease Surveillance System (NEDSS) Base System (NBS) n/a
[PHIC] 2024 CDC Division of Workforce Development (DWD) Fellowship Webinar Customer Service Feedback Survey 0920-1050
[PHIC] 2024 Epidemic Intelligence Service (EIS) Conference and Match Customer Service Feedback Surveys n/a, n/a ,  
[PHIC] 2024 Public Health Improvement Training (PHIT) Reaction Surveys - STLT Attendees 0920-24EW, 0920-24EW ,  
[PHIC] 2024 Public Health Improvement Training (PHIT) Reaction Surveys – Private Sector Attendees 0920-1050, 0920-1050 ,  
[PHIC] 2024 Science Ambassador Regional Training Workshop Satisfaction Survey 0920-1050-24DX
[PHIC] PHHS Block Grant and PHIG Listening Sessions (2024) 0920-1050
[PHIC] Strategic Scholars Program Feedback Survey 2024 0920-24HF

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 216,000 216,000 0 0 0 0
Annual Time Burden (Hours) 66,750 66,750 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


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