OMB control number

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

OMB 0920-1050 · HHS/CDC.

OMB 0920-1050

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.

The latest form for [OS] CDC/ATSDR Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery expires 2028-08-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Webinar Discussion — Medium/Small Local Health Department Questions Form and Instruction
Webinar Discussion — Large Local Health Department Questions Form and Instruction
Form 0920-1050 NAC Post-Site Visit Survey (document unavailable) Form and Instruction
Form 0920-1050 2026 CDC eFMS Customer Satisfaction Survey - PHAP Applicants Form and Instruction
Form 0920-1050 2026 CDC eFMS Customer Satisfaction Survey - EIS Applicants Form and Instruction
Form 0920-1050 2026 EIS Conference and Match Customer Service Feedback Survey Form and Instruction
Form 0920-26-0128 Baseline Questionnaire Form and Instruction
Form 0920-1050 CFA 2026 Annual Stakeholder Survey - STLT Employee Form and Instruction
Form 0920-1050 CFA 2026 Annual Stakeholder Survey - Non-CDC Employee Form and Instruction
Form 0920-1050 CFA 2026 Annual Stakeholder Survey - CDC Employee Form and Instruction
Customer Satisfaction Surveys to Assess the Quality of S3.4 Technical Assistance Form and Instruction
Form 0920-26-0022 2026_EEP Student Exit_Survey Form
2026 Epidemiology Elective Program Supervisor Exit Survey (document unavailable) Form and Instruction
Form 0920-1050 1CDP Partner Workspace Co-Design Workshop Facilitator Guide Form and Instruction
EEP Kickoff Survey Form and Instruction
Form 0920-1050 HDU/HIE Invitation Email and Listening Session Guide (document unavailable) Form and Instruction
Participant Feedback Form for Peer Learning Communities Form and Instruction
Participant Feedback Form for Group Learning Events Form and Instruction
GLLP Graduates Survey Form and Instruction
Form 0920-25-0168 ORR -Criminal-Epidemiologic Investigation Workshop Evaluation (document unavailable) Form
Digital Content Usability Testing Guide Form and Instruction
Form 0920-1050 Electronic Federal Select Agent Program (eFSAP) Information System Survey Form and Instruction
Form 0920-25-0129 Att1 ETSB_CustSat25-26_Surv Form and Instruction
Form 0920-25-0120 NBS 7 User Assesment Form
Customer Service GenIC Clearance Template_final.docx Supplementary Document
60d FRN - published.pdf Supplementary Document
60d FRN - published.pdf Supplementary Document
SSB fast track_final.docx Supporting Statement B
SSA fast track_25final.docx Supporting Statement A
[OPHDST] Improving Health Data Exchange with Local Health Departments (LHDs) Form and Instruction
[OPHDST] Improving Health Data Exchange with Local Health Departments (LHDs) Form and Instruction
[ORR] Post visit survey for facility evaluation of US National Authority for Containment of Poliovirus (NAC) Performance and Improvement Form and Instruction
[PHIC] 2026 eFMS Satisfaction Survey for EIS and PHAP Host Site Applicants Form and Instruction
[PHIC] 2026 eFMS Satisfaction Survey for EIS and PHAP Host Site Applicants Form and Instruction
[PHIC] 2026 Epidemic Intelligence Service (EIS) Conference and Match Customer Service Feedback Survey Form and Instruction
[NCIPC] Mental Health Data Channel (MHDC) Feedback Survey Form and Instruction
[CFA] 2026 Stakeholder Survey Form and Instruction
[CFA] 2026 Stakeholder Survey Form and Instruction
[CFA] 2026 Stakeholder Survey Form and Instruction
[NCIRD] IP25-0007 CoAg S3.4 Customer Satisfaction Evaluation Form and Instruction
[PHIC] 2026 Epidemiology Elective Program (EEP) Student Exit Survey Form
[PHIC] 2026 Epidemiology Elective Program (EEP) Supervisor Exit Survey Form and Instruction
[OPHDST] 1CDP Partner Workspace Co-Design Workshop Form and Instruction
[PHIC] 2026 Epidemiology Elective Program (EEP) Kickoff Survey Form and Instruction
[OPHDST] Health Data Utilities (HDU)/Health Information Exchange (HIE) Listening Session Form and Instruction
[NCIPC] Violence Prevention Technical Assistance Center: TTA Participant Feedback Forms Form and Instruction
[NCIPC] Violence Prevention Technical Assistance Center: TTA Participant Feedback Forms Form and Instruction
[OPHDST] National Notifiable Diseases Surveillance System (NNDSS) Generic v3 Draft Release Instruction
[GHC] Global Laboratory Leadership Programme (GLLP) Post-Graduation Participant Survey Form and Instruction
[CPR] ORR -Criminal-Epidemiologic Investigation Workshop Evaluation Form
[OADC] CDC Usability and Digital Content Testing Form and Instruction
Electronic Federal Select Agent Program (eFSAP) Information System Survey Form and Instruction
[PHIC] 2025-2026 ETSB Customer Satisfaction Survey Form and Instruction
[OPHDST] NBS 7 Transition User Assessment Form

All Historical Document Collections

202506-0920-002	Revision of a currently approved collection	2025-06-23
202505-0920-006	No material or nonsubstantive change to a currently approved collection	2025-05-15
202204-0920-013 Approved without change	Extension without change of a currently approved collection	2022-05-23
201902-0920-022 Approved with change	Revision of a currently approved collection	2019-03-21
201605-0920-001 Approved without change	Revision of a currently approved collection	2016-05-10
201411-0920-012 Approved without change	New collection (Request for a new OMB Control Number)	2014-12-08

OMB Details

[OPHDST] NBS 7 Transition User Assessment

Federal Enterprise Architecture: Health - Health Care Services

Form 0920-25-0120

NBS 7 User Assesment

Fillable Fileable

Form

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.