This collection of information is necessary to enable the CDC/NIOSH to garner customer and stakeholder feedback in an efficient, timely manner, in accordance with our commitment to improving service delivery. The types of collections that this generic clearance covers include, but are not limited to: Customer comment cards/complaint forms, Small discussion groups, Focus Groups of customers, potential customers, delivery partners, or other stakeholders, Cognitive laboratory studies, such as those used to refine questions or assess usability of a website, Qualitative customer satisfaction surveys (e.g., post-transaction surveys; opt-out web surveys) and In-person observation testing (e.g., website or software usability tests).
The latest form for [NIOSH] Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery expires 2021-08-31 and can be found here.
Document Name |
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Supporting Statement A |
Supplementary Document |
Supplementary Document |
Supporting Statement B |
Approved without change |
Extension without change of a currently approved collection | 2024-06-05 | |
Approved without change |
Extension without change of a currently approved collection | 2021-08-11 | |
Approved without change |
Revision of a currently approved collection | 2018-06-27 | |
Approved with change |
Extension without change of a currently approved collection | 2015-06-04 | |
Approved without change |
New collection (Request for a new OMB Control Number) | 2012-11-01 |
Federal Enterprise Architecture: Health - Health Care Services
Form none | Barriers to Care Assessment | Paper Only | Form |
Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.