Information Collection

Clinical Practice Guideline Outreach and Communication Materials Feedback

IC 261299 under ICR 202505-0920-006 · OMB 0920-1050.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1050 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 0920-1050 Clinical Practice Guideline Outreach and Communication Materials Feedback	Form and Instruction
Form 0920-1050 Clinical Practice Guideline Outreach and Communication Materials Feedback Clinical Practice Guideline Outreach and Communication Materials Feedback	Form and Instruction
0920-1050 Clinical Practice Guideline Outreach and Communication M Att.2_Clinical_Practice_Guideline_Materials_Feedback_Survey.docx	Form and Instruction
0920-1050 Clinical Practice Guideline Outreach and Communication M Att.2_Clinical_Practice_Guideline_Materials_Feedback_Survey.docx	Form and Instruction
Request_OMB1050_GenIC_Clinical_Practice_Guideline_Materials_Feedback_FINAL.docx Request for Approval under the “Generic Clearance for the Collection of Routine Customer Feedback” (OMB Control Number: 0920-105	IC Document
Request_OMB1050_GenIC_Clinical_Practice_Guideline_Materials_Feedback_FINAL.docx Request for Approval under the “Generic Clearance for the Collection of Routine Customer Feedback” (OMB Control Number: 0920-105	IC Document
Att.3_ScreenS_Clinical_Practice_Guideline_Materials_Feedback_SurveyMonkey.docx Clinical Practice Guideline Outreach and Communication Materials Feedback Survey Monkey screenshot	IC Document
Att.3_ScreenS_Clinical_Practice_Guideline_Materials_Feedback_SurveyMonkey.docx Clinical Practice Guideline Outreach and Communication Materials Feedback Survey Monkey screenshot	IC Document

IC Title:

Clinical Practice Guideline Outreach and Communication Materials Feedback

Agency IC Tracking Number:

0920-1050-23HA

IC Status: Unchanged

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 and Instruction	0920-1050				Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 16

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	16	16
Annual IC Time Burden (Hours)	4	4
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Request for Approval under the âGeneric Clearance for the Collection of Routine Customer Feedbackâ (OMB Control Number: 0920-1050)		07/28/2023
Clinical Practice Guideline Outreach and Communication Materials Feedback Survey Monkey screenshot		07/28/2023

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].