Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
2016 Science Ambassador Workshop Satisfaction Survey New 30 10 0 Form and Instruction NA
2017 Science Ambassador Fellowship Summer Course Satisfaction Survey New 30 10 0 Form and Instruction 0920-17ANW
Form and Instruction 0920-17ANW
2018 CUPS/Ferguson Summer Showcase New 744 99 0 Form none
Form none
Form none
2018 Federal Select Agents Program Inspection Feedback Survey New 264 44 0 Form 0920-1050
2018 ITSO Customer Satisfaction Survey New 2400 600 0 Form none
2018 Public Health Ethics Forum New 100 8 0 Form and Instruction 0920-1050
2018 Science Ambassador Fellowship Exit Satisfaction Survey New 30 5 0 Form and Instruction 0920-1050
2018 Science Ambassador Fellowship Summer Course Satisfaction Survey New 30 5 0 Form n/a
Other-Reference document: Word version of survey content
2019 Science Ambassador Fellowship Regional Training Workshop Customer Satisfaction Survey New 100 10 0 Other-WORD
Form and Instruction 0920-1050
APIH Fellowship Program Orientation Survey New 30 3 0 Form 0920-1050
Form 0920-1050
Academic Partnerships to Improve Health (APIH) Program Training/Workshop Feedback Survey (January – June, 2019) New 180 15 0 Form n/a
Adapting Clnical Guidelines for the Digital Age Meeting Assessment New 232 39 0 Form none
Assessing Customer Satisfaction with Health, US Report New 50 25 0 Other-Interview guide
CDC DataViz Day Needs Assessment New 469 39 0 Form and Instruction 0920-1050
CDC Fellowships, Internships, and Learning Opportunities GovDelivery Newsletter Customer Satisfaction Survey New 1200 40 0 Form and Instruction 0920-1050
CDC Latent Tuberculosis Infection Mobile App Survey New 200 33 0 Form and Instruction 0920-17AUP
Form and Instruction 0920-17AUP
Form and Instruction 0920-17AUP
CDC Learning Connection Gov D Newsletter Survey New 2000 33 0 Other-Screenshots
Form and Instruction 0920-1050
CDC Page Info Tab New 65 11 0 Form and Instruction 0920-1050
CDC Public Health Emergency Management Fellowship Feedback New 30 30 0 Form and Instruction 0920-1050
CDC Public Health Grand Rounds Audience Satisfaction Survey New 3000 250 0 Form none
CDC Solve the Outbreak Mobile App New 400 67 0 Form N/A
Form N/A
Form N/A
CDC Template Navigation New 50 50 0 Other-Discussion guide
CDC Zika Website New 50 50 0 Form and Instruction NA
Form and Instruction NA
CDC-INFO Email Survey New 9000 900 0 Form none
CDC-INFO Interactive Voice Response Survey New 1296000000 2400 0 Form and Instruction 0920-1050
Customer Feedback on CDC CVD Policy Platform New 50 25 0 Other-WORD
Customer Satisfaction Survey for 5 CDC Laboratories Seeking ISO 17025 Accreditation for Laboratory Quality New 4300 717 0 Form N/A
Form N/A
Customer Service Feedback Survey of 2017 EIS Conference New 750 125 0 Form and Instruction NA
Customer Service Feedback Survey of 2018 EIS Conference New 750 25 0 Form and Instruction 0920-1050
Disaster Response Training Needs Assessment New 1000 333 0 Form and Instruction 0920-1050
Education and Training Services Branch Customer Satisfaction Survey New 200 17 0 Form none
Emergency Partners Information Connection (EPIC) Partner Interaction New 80 13 0 Other-Survey script
FLU Vaccines Section Usability Testing New 400 67 0 Other-Screenshots
Instruction
Instruction
Feedback for 2018 Place & Health Conference New 100 8 0 Form and Instruction 0920-1050
ITSO Customer Satisfaction Survey New 2400 600 0 Form and Instruction NA
Form and Instruction NA
MosquitoNet Surveillance System Focus Group New 200 400 0 Form and Instruction 0920-1050
National Diabetes Prevention Program Customer Service Center (National DPP CSC) -- Customer Satisfactory Surveys New 3000 50 0 Form and Instruction 0920-1050
Office of Scientific Integrity Customer Satisfaction Survey New 287 96 0 Form none
Participant Assessment of Science Integrity Branch Trainings New 150 25 0 Form none
Partner Feedback Assessment Of Sexually Transmitted Disease (STD) Clinic Processes For Conducting And Documenting Routine HIV Testing New 25 25 0 Form and Instruction NA
Form and Instruction NA
Post-Meeting Survey of Attendees at the 2018 Childhood Lead Poisoning Prevention Annual Cooperative Agreement Recipient's Meeting New 150 13 0 Form and Instruction 0920-1050
Seasonal Flu: Email Updates Satisfaction Survey New 100 8 0 Form and Instruction NA
Special Emphasis Panel (SEP) Peer Review Evaluation New 350 88 0 Form and Instruction 17WN
TB Training and Education Needs Assessment of the US-affiliated Pacific Islands and Hawaii New 200 50 0 Form none
Form none
Technical Packages for Violence Prevention Using Evidence-based Strategies in Your Violence Prevention Efforts Online Survey New 861 72 0 Form none
Understanding the Use of CDC Resources and Tools during 2017 Hurricane Disaster Response New 50 50 0 Other-WORD (English)
Other-WORD (Spanish Version)
Web Usability Study for CDC's Radiation Emergencies Website New 108 46 0 Other-WORD
Other-WORD
Instruction
Instruction
Total Burden Actually Used for Information Collections Under Currently Approved ICR: 1296036195 7629 0  
Total Burden Currently Requested for Information Collections Under Currently Approved ICR: 0 0 0  
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