[OS] CDC/ATSDR Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

Forms and Documents

Document	Type	Status	Availability
Webinar Discussion — Medium/Small Local Health Department Questions	Form and Instruction	New	Available
Webinar Discussion — Large Local Health Department Questions	Form and Instruction	New	Available
Form 0920-1050 NAC Post-Site Visit Survey	Form and Instruction	New	Repair queued
Form 0920-1050 2026 CDC eFMS Customer Satisfaction Survey - PHAP Applicants	Form and Instruction	New	Available
Form 0920-1050 2026 CDC eFMS Customer Satisfaction Survey - EIS Applicants	Form and Instruction	New	Available
Form 0920-1050 2026 EIS Conference and Match Customer Service Feedback Survey	Form and Instruction	New	Available
Form 0920-26-0128 Baseline Questionnaire	Form and Instruction	New	Available
Form 0920-1050 CFA 2026 Annual Stakeholder Survey - STLT Employee	Form and Instruction	New	Available
Form 0920-1050 CFA 2026 Annual Stakeholder Survey - Non-CDC Employee	Form and Instruction	New	Available
Form 0920-1050 CFA 2026 Annual Stakeholder Survey - CDC Employee	Form and Instruction	New	Available
Customer Satisfaction Surveys to Assess the Quality of S3.4 Technical Assistance	Form and Instruction	New	Available
Form 0920-26-0022 2026_EEP Student Exit_Survey	Form	New	Available
2026 Epidemiology Elective Program Supervisor Exit Survey	Form and Instruction	New	Available
Form 0920-1050 1CDP Partner Workspace Co-Design Workshop Facilitator Guide	Form and Instruction	New	Available
EEP Kickoff Survey	Form and Instruction	New	Available
Form 0920-1050 HDU/HIE Invitation Email and Listening Session Guide	Form and Instruction	New	Repair queued
Participant Feedback Form for Peer Learning Communities	Form and Instruction	New	Available
Participant Feedback Form for Group Learning Events	Form and Instruction	New	Available
GLLP Graduates Survey	Form and Instruction	New	Available
Form 0920-25-0168 ORR -Criminal-Epidemiologic Investigation Workshop Evaluation	Form	New	Repair queued
Digital Content Usability Testing Guide	Form and Instruction	New	Available
Form 0920-1050 Electronic Federal Select Agent Program (eFSAP) Information System Survey	Form and Instruction	New	Repair queued
Form 0920-25-0129 Att1 ETSB_CustSat25-26_Surv	Form and Instruction	New	Repair queued
Form 0920-25-0120 NBS 7 User Assesment	Form	New	Repair queued
Customer Service GenIC Clearance Template_final.docx	Supplementary Document	Uploaded 2025-06-10	Repair queued
Customer Service GenIC Clearance Template_final.docx	Supplementary Document	Uploaded 2025-06-10	Repair queued
60d FRN - published.pdf	Supplementary Document	Uploaded 2025-06-10	Available
60d FRN - published.pdf	Supplementary Document	Uploaded 2025-06-10	Repair queued
SSB fast track_final.docx	Supporting Statement B	Uploaded 2025-06-10	Repair queued
SSB fast track_final.docx	Supporting Statement B	Uploaded 2025-06-10	Repair queued
SSA fast track_25final.docx	Supporting Statement A	Uploaded 2025-06-10	Repair queued
SSA fast track_25final.docx	Supporting Statement A	Uploaded 2025-06-10	Repair queued

IC Document Collections

IC ID	Collection	Type	Status	Form
279752	[OPHDST] Improving Health Data Exchange with Local Health Departments (LHDs)	Form and Instruction	New	Webinar Discussion — Medium/Small Local Health Department Questions
279752	[OPHDST] Improving Health Data Exchange with Local Health Departments (LHDs)	Form and Instruction	New	Webinar Discussion — Large Local Health Department Questions
279595	[ORR] Post visit survey for facility evaluation of US National Authority for Containment of Poliovirus (NAC) Performance and Improvement	Form and Instruction	New	NAC Post-Site Visit Survey
279434	[PHIC] 2026 eFMS Satisfaction Survey for EIS and PHAP Host Site Applicants	Form and Instruction	New	2026 CDC eFMS Customer Satisfaction Survey - PHAP Applicants
279434	[PHIC] 2026 eFMS Satisfaction Survey for EIS and PHAP Host Site Applicants	Form and Instruction	New	2026 CDC eFMS Customer Satisfaction Survey - EIS Applicants
279433	[PHIC] 2026 Epidemic Intelligence Service (EIS) Conference and Match Customer Service Feedback Survey	Form and Instruction	New	2026 EIS Conference and Match Customer Service Feedback Survey
279323	[NCIPC] Mental Health Data Channel (MHDC) Feedback Survey	Form and Instruction	New	Baseline Questionnaire
279237	[CFA] 2026 Stakeholder Survey	Form and Instruction	New	CFA 2026 Annual Stakeholder Survey - STLT Employee
279237	[CFA] 2026 Stakeholder Survey	Form and Instruction	New	CFA 2026 Annual Stakeholder Survey - Non-CDC Employee
279237	[CFA] 2026 Stakeholder Survey	Form and Instruction	New	CFA 2026 Annual Stakeholder Survey - CDC Employee
279045	[NCIRD] IP25-0007 CoAg S3.4 Customer Satisfaction Evaluation	Form and Instruction	New	Customer Satisfaction Surveys to Assess the Quality of S3.4 Technical Assistance
278887	[PHIC] 2026 Epidemiology Elective Program (EEP) Student Exit Survey	Form	New	2026_EEP Student Exit_Survey
278883	[PHIC] 2026 Epidemiology Elective Program (EEP) Supervisor Exit Survey	Form and Instruction	New	2026 Epidemiology Elective Program Supervisor Exit Survey
278772	[OPHDST] 1CDP Partner Workspace Co-Design Workshop	Form and Instruction	New	1CDP Partner Workspace Co-Design Workshop Facilitator Guide
278645	[PHIC] 2026 Epidemiology Elective Program (EEP) Kickoff Survey	Form and Instruction	New	EEP Kickoff Survey
277714	[OPHDST] Health Data Utilities (HDU)/Health Information Exchange (HIE) Listening Session	Form and Instruction	New	HDU/HIE Invitation Email and Listening Session Guide
277597	[NCIPC] Violence Prevention Technical Assistance Center: TTA Participant Feedback Forms	Form and Instruction	New	Participant Feedback Form for Peer Learning Communities
277597	[NCIPC] Violence Prevention Technical Assistance Center: TTA Participant Feedback Forms	Form and Instruction	New	Participant Feedback Form for Group Learning Events
277594	[OPHDST] National Notifiable Diseases Surveillance System (NNDSS) Generic v3 Draft Release	Instruction	New
277464	[GHC] Global Laboratory Leadership Programme (GLLP) Post-Graduation Participant Survey	Form and Instruction	New	GLLP Graduates Survey
277375	[CPR] ORR -Criminal-Epidemiologic Investigation Workshop Evaluation	Form	New	ORR -Criminal-Epidemiologic Investigation Workshop Evaluation
277140	[OADC] CDC Usability and Digital Content Testing	Form and Instruction	New	Digital Content Usability Testing Guide
277060	Electronic Federal Select Agent Program (eFSAP) Information System Survey	Form and Instruction	New	Electronic Federal Select Agent Program (eFSAP) Information System Survey
277052	[PHIC] 2025-2026 ETSB Customer Satisfaction Survey	Form and Instruction	New	Att1 ETSB_CustSat25-26_Surv
277032	[OPHDST] NBS 7 Transition User Assessment	Form	New	NBS 7 User Assesment

ICR Details

OMB Control No: 0920-1050	ICR Reference No: 202506-0920-002
Status: Active	Previous ICR Reference No: 202505-0920-006
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-1050
Title: [OS] CDC/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 without change	Conclusion Date: 08/11/2025
Retrieve Notice of Action (NOA)	Date Received in OIRA: 06/23/2025
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2028	36 Months From Approved	08/31/2025
Responses	258,000	0	216,000
Time Burden (Hours)	87,750	0	66,750
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. This Revision increases the burden and contains other minor edits.

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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 71281	09/03/2024
30-day Notice:	Federal Register Citation:	Citation Date:
	90 FR 24627	06/11/2025
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 20

IC Title	Form No.	Form Name
Electronic Federal Select Agent Program (eFSAP) Information System Survey	0920-1050	Electronic Federal Select Agent Program (eFSAP) Information System Survey
[CFA] 2026 Stakeholder Survey	0920-1050, 0920-1050, 0920-1050	CFA 2026 Annual Stakeholder Survey - CDC Employee ,   CFA 2026 Annual Stakeholder Survey - Non-CDC Employee ,   CFA 2026 Annual Stakeholder Survey - STLT Employee
[CPR] ORR -Criminal-Epidemiologic Investigation Workshop Evaluation	0920-25-0168	ORR -Criminal-Epidemiologic Investigation Workshop Evaluation
[GHC] Global Laboratory Leadership Programme (GLLP) Post-Graduation Participant Survey	n/a	GLLP Graduates Survey
[NCIPC] Mental Health Data Channel (MHDC) Feedback Survey	0920-26-0128	Baseline Questionnaire
[NCIPC] Violence Prevention Technical Assistance Center: TTA Participant Feedback Forms	n/a, n/a	Participant Feedback Form for Group Learning Events ,   Participant Feedback Form for Peer Learning Communities
[NCIRD] IP25-0007 CoAg S3.4 Customer Satisfaction Evaluation	n/a	Customer Satisfaction Surveys to Assess the Quality of S3.4 Technical Assistance
[OADC] CDC Usability and Digital Content Testing	n/a	Digital Content Usability Testing Guide
[OPHDST] 1CDP Partner Workspace Co-Design Workshop	0920-1050	1CDP Partner Workspace Co-Design Workshop Facilitator Guide
[OPHDST] Health Data Utilities (HDU)/Health Information Exchange (HIE) Listening Session	0920-1050	HDU/HIE Invitation Email and Listening Session Guide
[OPHDST] Improving Health Data Exchange with Local Health Departments (LHDs)	n/a, n/a	Webinar Discussion — Large Local Health Department Questions ,   Webinar Discussion — Medium/Small Local Health Department Questions
[OPHDST] NBS 7 Transition User Assessment	0920-25-0120	NBS 7 User Assesment
[OPHDST] National Notifiable Diseases Surveillance System (NNDSS) Generic v3 Draft Release
[ORR] Post visit survey for facility evaluation of US National Authority for Containment of Poliovirus (NAC) Performance and Improvement	0920-1050	NAC Post-Site Visit Survey
[PHIC] 2025-2026 ETSB Customer Satisfaction Survey	0920-25-0129	Att1 ETSB_CustSat25-26_Surv
[PHIC] 2026 Epidemic Intelligence Service (EIS) Conference and Match Customer Service Feedback Survey	0920-1050	2026 EIS Conference and Match Customer Service Feedback Survey
[PHIC] 2026 Epidemiology Elective Program (EEP) Kickoff Survey	n/a	EEP Kickoff Survey
[PHIC] 2026 Epidemiology Elective Program (EEP) Student Exit Survey	0920-26-0022	2026_EEP Student Exit_Survey
[PHIC] 2026 Epidemiology Elective Program (EEP) Supervisor Exit Survey	n/a	2026 Epidemiology Elective Program Supervisor Exit Survey
[PHIC] 2026 eFMS Satisfaction Survey for EIS and PHAP Host Site Applicants	0920-1050, 0920-1050	2026 CDC eFMS Customer Satisfaction Survey - EIS Applicants ,   2026 CDC eFMS Customer Satisfaction Survey - PHAP Applicants

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ICR Summary 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	258,000	216,000	0	42,000	0	0
Annual Time Burden (Hours)	87,750	66,750	0	21,000	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The burden increase is due to an increase in burden usage since the last approval.

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Annual Cost to Federal Government: $60,000

Does this IC contain surveys, censuses, or employ statistical methods? No

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: 06/23/2025

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