Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
2018 Customer Satisfaction Survey for CDC NCEH NSMBB Laboratory Accredited to ISO 17043 (Proficiency Testing) New 3500 583 0 Form and Instruction 0920-1071 CDC Laboratory Customer Satisfaction Survey - CDC NCEH NSMBB Laboratory Proficiency Testing
CDC GIS Day Stakeholder Registration and Feedback New 300 25 0 Form none Registration and Feedback
Form none Where in the World quiz
CDC GIS Website Content Strategy Survey New 100 8 0 Form and Instruction 0923-0047 CDC GIS Website Content Strategy Survey
CDC's Social Vulnerability Index Webpage Survey New 30 8 0 Form and Instruction NA Survey for CDC's Social Vulnerability Index (SVI) Website - Screenshot
CDC/ATSDR Needs Assessment of GIS use in Public Health Emergencies New 50 13 0 Form and Instruction 0923-17AZF Attachment B GPHEW NA Survey Text
Form 0923-17AZF Attachment C GPHEW NA Survey Screenshots
Choose Safe Places for Early Care and Education Survey New 25 4 0 Form and Instruction 0923-0047 ATSDR Choose Safe Places for Early Care and Education Survey
Council of State and Territorial Epidemiologists (CSTE) Feedback on Geospatial Capacity New 50 4 0 Form N/A CSTE Feedback - Use of Geospatial Methods During Responses
Customer Feedback on ATSDR's Coping with Stress Fact Sheet New 20 7 0 Form and Instruction n/a Feedback Form and Follow-up Interview Questions
Customer Satisfaction Survey for CDC NSMBB Laboratory Accredited to ISO 17043 (Proficiency Testing) New 3500 583 0 Form and Instruction n/a Customer Satisfaction Survey for the CDC Newborn Screening Quality Assurance Program
Customer Satisfaction Survey for CDC Tobacco Products Laboratory Accredited to ISO/IEC 17025:2005 New 25 4 0 Form and Instruction NA Tobacco Laboratory - Customer Service Survey
Customer Satisfaction Survey: EATS/Food Defense training New 5000 850 0 Other-WORD
Other-Screenshots
Customer Satisfaction Survey: Vessel Sanitation Program (VSP) Training Seminar New 820 68 0 Form and Instruction 0923-0047 VSP Training Seminar Customer Satisfaction Survery Att. A
NCEH/ATSDR Office of Science Regulatory Team Customer Satisfaction Survey New 70 18 0 Form and Instruction NA NCEH/ATSDR Office of Science Regulatory Team Customer Ssatisfaction Survey
NCEH/ATSDR Wellness Needs Assessment New 200 50 0 Form and Instruction 0923-0047 NCEH/ATSDR Wellness Needs Assessment - Screenshot
NCEH/ATSDR Wellness Needs Assessment New 200 50 0 Form and Instruction 0923-0047 NCEH/ATSDR Wellness Needs Assessment - Federal Employees/Contractors/Fellows
National ALS Registry Website Satisfaction Survey New 2650 221 0 Form none ALS Customer Satisfaction Survey
Form none ALS Customer Satisfaction Survey - word
National Environmental Public Health Internship Program Survey New 31 5 0 Form and Instruction NA National Environmental Public Health Internship Program Survey
PFAS Exposure Assessment Technical Tools Feedback New 40 7 0 Instruction
Post Meeting Survey of Non-Governmental Organization (NGO) Attendees at the NACP Grantee Meeting 2018 New 20 3 0 Form and Instruction n/a National Asthma Control Program Grantees Meeting Evaluation
Other-Paper version of survey (for reference only)
Post Meeting Survey of State, Local, and Tribal Government Attendees at the NACP Grantee Meeting 2018 New 70 12 0 Form and Instruction n/a National Asthma Control Program Grantees Meeting Evaluation
Other-Paper version of survey (for reference only)
Post-Meeti Survey of attendees at the APPLETREE Meeting 2017 New 90 15 0 Form and Instruction 17AIX Attachment B - APPLETREE Post Meeting Survey_screenshot
Form and Instruction 17AIX Attachment C - APPLETREE Post Meeting Survey_text
Post-Meeting Survey of Attendees of 2018 Environmental PH Tracking Grantee Workshop New 154 13 0 Form none Post-workshop survey - screenshots
Sub-County Geocoding Standards Survey New 21 7 0 Form and Instruction 0923-0047 Sub-County Geocoding Standards Survey
ToxFAQs Before and After Testing New 250 83 0 Form and Instruction NA Tox FAQs Before and After Testing Survey - Online
Transportation and Health Tool Website User Satisfaction Assessment New 450 78 0 Form none User Satisfaction Survey
Form none User Satisfaction Survey - screenshots
Instruction
Other-Telephone Interview
Instruction
Usability Testing for the National New 136 44 0 Form and Instruction 17wl Attachment A - Respondent Screeners
Instruction
Total Burden Actually Used for Information Collections Under Currently Approved ICR: 17802 2763 0  
Total Burden Currently Requested for Information Collections Under Currently Approved ICR: 0 0 0  
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