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[OD] CDC-INFO Web-based Customer Satisfaction Survey - Individual Respondent - Email

IC 256930 under ICR 202505-0920-006 · OMB 0920-1050.

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Document Type
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
IC Document
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[OD] CDC-INFO Web-based Customer Satisfaction Survey - Individual Respondent - Email 0920-1050-23BA(3)
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-1050 CDC-INFO Email Service - Customer Satisfaction Survey - English CDC-INFO_Email_Survey Monkey Screenshot_Image 1.1 ENG_SPAN.PNG NA Yes Yes Fillable Fileable
Form and Instruction 0920-1050 CDC-INFO Email Service - Customer Satisfaction Survey - Spanish CDC-INFO_Email_Survey Monkey Screenshot_Image 1.1 ENG_SPAN.PNG NA Yes Yes Fillable Fileable

Health Consumer Health and Safety

 

1,600 0
   
Individuals or Households
 
   100 %

  Requested Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 1,600 0 0 0 0 1,600
Annual IC Time Burden (Hours) 80 0 0 0 0 80
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
0920-1050 GenIC Request Template Generic Clearance Submission Template_10-2022_Email Survey_Individual Respondents.docx 11/16/2022
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.