Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
2021 CDC Novel Emerging Respiratory Disease [NERD] Academy Surveys [CSELS] New 1041 175 0 Form and Instruction n/a
Form and Instruction n/a
Other-WORD document to facilitate review of Participant Survey content
Other-WORD document to facilitate review of Webpage Survey content
New Science Ambassador Virtual Training Series Survey New 332 55 0 Form and Instruction 0920-20QM
"Lyme and other Tickborne Diseases Knowledge, Attitude, and Practice Surveys" New 115 39 0 Form 0920-1050
Form and Instruction 0920-1050
2020 EIS Virtual Recruitment and Match Customer Service Survey New 135 11 0 Form and Instruction 0920-20OI
2020 Science Ambassador Application Survey New 90 15 0 Form and Instruction 0920-1050
Other-WORD (Screenshots)
Other-Email
Other-Email
2020 Science Ambassador Regional Training Workshops Satisfaction Survey New 50 10 0 Form and Instruction 0920-20IS
2020 – 2021 CDC Science Ambassador Program Activities Survey New 332 55 0 Form and Instruction 0920-21IJ
2021 CDC Laboratory Courses for External Audiences Learner Feedback Survey New 10000 1667 0 Form and Instruction None
2021 EIS Virtual Recruitment and Match Customer Service Survey New 266 22 0 Form and Instruction 0920-1050
2022 EIS Conference and Match Feedback Surveys New 1251 125 0 Form and Instruction 0920-1050
Form and Instruction 0920-1050
2022 EpiEpidemic Intelligence Service (EIS) Conference and Match Feedback Surveys New 1251 125 0 Form 0920-22EE
Form and Instruction 0920-22EE
ATSDR Public Health Assessment Basic Course Modernization Focus Group New 28 56 0 Other- Facilitators Guide
An Assessment of the Feasibility and Sustainability of CDC Zika Activities Funded Under the USAID/CDC Interagency Agreement New 25 25 0 Form and Instruction n/a
App and Web Usability Study for CDC's STD Treatment Guidelines New 45 23 0 Form and Instruction 0920-1050
Assessing Perceptions of Operational Planning Workshops to Facilitate Country Planning for Increasing Health Security Capacities New 30 5 0 Form and Instruction 0920-1050
Assessing Perceptions of Operational Planning Workshops to Facilitate Country Planning for Increasing Health Security Capacities New 30 3 0 Instruction
Assessment of National Public Health Institutes'(NPHI) Capacity to Strengthen Essential Public Health Functions in Countries Supported by U.S. Centers for Disease Control and Prevention New 150 113 0 Form and Instruction N/A
CDC Basic Molecular Biology eLearning Courses Learner Feedback Survey New 800 67 0 Form and Instruction n/a
CDC INFO Email Survey [ALT title: CDC-INFO Web-based Satisfaction Survey (for Individual Respondents Who Send Email Inquiries)] New 288 29 0 Form and Instruction n/a
Form and Instruction n/a
CDC Import Permit Program (IPP) Inspection Feedback Survey New 100 17 0 Form and Instruction n/a
CDC Laboratory Courses for External Audiences Learner Feedback Survey New 8000 1333 0 Form and Instruction 0920-1050
CDC Laboratory Identification of Emerging Pathogenic Molds Course Learner Feedback Survey New 40 3 0 Form and Instruction 0920-20DJ
CDC Microbiology-Oriented eLearning Courses Learner Feedback Survey New 2000 333 0 Form none
CDC Packaging and Shipping Division 6.2 Materials eLearning Course Learner Feedback Survey New 2000 167 0 Form and Instruction 0920-1050
CDC Science Ambassador Virtual Training Series Survey New 996 102 0 Form and Instruction 0920-1050
Form and Instruction 0920-1050
Form and Instruction 0920-1050
Form and Instruction 0920-1050
Form and Instruction 0920-1050
Form and Instruction 0920-1050
Form and Instruction 0920-1050
Form and Instruction 0920-1050
Form and Instruction 0920-1050
Form and Instruction 0920-1050
Form and Instruction 0920-1050
Form and Instruction 09201050
Form and Instruction 0920-1050
Form and Instruction 0920-1050
Form and Instruction 0920-1050
Form and Instruction 0920-1050
CDC-INFO IVR Satisfaction Survey (for Individual Respondents Who Inquire by Phone) New 33100 1103 0 Form and Instruction n/a
Form and Instruction n/a
CDC-INFO IVR Satisfaction Survey (for Private Sector Respondents Who Inquire by Phone) New 4900 163 0 Form and Instruction n/a
Form and Instruction n/a
CDC-INFO Interactive Voice Response (IVR) Satisfaction Survey (for Individual Respondents Who Inquirer by Phone) New 93000 4650 0 Form and Instruction 0920-1050
CDC-INFO Interactive Voice Response (IVR) Satisfaction Survey (for Private Respondents Who Inquirer by Phone) New 14000 700 0 Form and Instruction 0920-1050
CDC-INFO Web-based Satisfaction Survey (for Individual Respondents Who Send Email Inquiries) New 1600 187 0 Form and Instruction 0920-1050
CDC-INFO Web-based Satisfaction Survey (for Private Respondents Who Send Email Inquiries) New 970 113 0 Form and Instruction 0920-1050
CDC-INFO Web-based Satisfaction Survey (for Private Sector Respondents Who Send Email Inquiries) New 120 12 0 Form and Instruction n/a
Form and Instruction n/a
Centers for Disease Control and Prevention's National Contact Center (CDC-INFO) Web-based Satisfaction Survey New 186 6 0 Form and Instruction 0920-22AZ
Clinical Laboratory Partners Forum (CLPF) 2021 Survey New 40 7 0 Form and Instruction n/a
Customer Experience using the PRAMS Integrated Data Collection System New 150 37 0 Form and Instruction PIDS User Feedback
Customer Feedback for Raising Healthy Boys New 216 154 0 Other-WORD
Form 0920-1050
Customer Feedback on CAMP Teen-SPARC Tool Use and Usability New 100 17 0 Form and Instruction 0920-1050
Customer Satisfaction with the Division of Global Heath and Tuberculous (DGHT) Science Integrity Branch (SIB) Trainings (2021-2022) New 400 33 0 Form and Instruction n/a
Other-Screen capture of landing page for online version (verifies display of OMB control information)
DELTA Reverse Site Visit Feedback New 120 15 0 Form and Instruction 0920-1050
Other-Email
DSAT Webinar, Webcast, and Workshop Survey New 2264 377 0 Form and Instruction 0920-1050
DSEPD Fellowship Webinar Customer Service Feedback Survey New 4000 480 0 Form and Instruction 0920-1050
DSLR Tools and Resources Survey New 480 80 0 Form and Instruction 0920-1050
DSLR Training Survey New 350 59 0 Form and Instruction 0920-1050
Dating Matters Customer Satisfaction Survey New 567 67 0 Instruction
Form and Instruction 0920-1050
Form and Instruction 0920-1050
Dating Matters Rebranding Research New 600 34 0 Form and Instruction 0920-1050
Other-Text
ETSB Customer Satisfaction Survey New 200 17 0 Form ETSB_2021_Cust_Sat_ Survey
Education and Training Services Branch Customer Satisfaction Survey New 200 17 0 Form none
Epidemiology Elective Program Alumni Survey New 680 113 0 Form none
Form none
Evaluation of Spanish Webpages (CDC/DHDD) New 2250 271 0 Form and Instruction 0920-22DN
Evaluators' Network, Member Survey New 170 43 0 Form 0920-1050
Instruction
Evaluators' Network, Member Survey New 229 57 0 Form and Instruction 0920-1050
External Partner Discussion Groups to Inform Strategic Planning of CDC's Division of Laboratory Systems New 40 1 0 Form and Instruction 0920-22EV
External Partner Focus Groups to Inform Strategic Planning of CDC's Division of Laboratory Systems New 20 30 0 Other-02_DLS External Partner Focus Groups 1&2 Guide_01-28-2022
Other-03_DLS External Partner Focus Group 3 Guide_01-28-2022
Other-04_DLS External Partner Focus Group 4 Guide_01-28-2022
Federal Select Agent Program Feedback Survey (FSAP) Survey New 247 41 0 Form 0920-21CR
Feedback Survey for September 2021 Webinar New 400 34 0 Form and Instruction 0920-1050
Feedback interviews to improve technical assistance New 500 250 0 Other-WORD
Feedback on the use of the CDC Guideline for Prescribing Opioids for Chronic Pain. New 100 25 0 Form and Instruction 0920-20OP
Feedback survey for Oct 2021 webinar (CDC/NIOSH/OD/ORI) New 400 34 0 Form and Instruction 0920-22AF
Feedback web-survey on forensic toxicology testing New 3618 922 0 Form and Instruction 0920-1050
Other-Screenshot
Fundamentals of Working Safely in a Biological Safety Cabinet, Fundamentals of Chemical Fume Hood Safety, and Fundamentals of Centrifuge Safety CDC eLearning Courses Learner Feedback Survey New 2200 183 0 Form and Instruction 0920-1050
IPP and FSAP Inspection Survey New 2264 755 0 Form and Instruction 0920-1050
NCIPC Website Usability Testing New 400 133 0 Form none
Form none
National Authority for Containment of Poliovirus 2020 Poliovirus Containment Webinar Participant Feedback Polling Questions and Survey New 200 50 0 Form and Instruction 0920-21BA
National Authority for Containment of Poliovirus Risk Mitigation Strategies Webinar Participant Feedback Polling Questions & Survey New 60 15 0 Other-Focus group guide
National Center for Injury Prevention and Control (NCIPC) Fellows & Interns' Evaluation New 200 17 0 Other-Screenshoot survey
Form and Instruction 0920-22EK
OCIO Customer Satisfaction Survey 2020 New 2200 550 0 Form none
OT18-1802: Strengthening Public Health Systems and Services Through National Partnerships to Improve and Protect the Nation's Health New 39 6 0 Form and Instruction 0920-1050
On-TAC Customer Service Survey New 480 80 0 Form and Instruction 0920-22EU
Pilot Survey of the Applying CDC's Guidelines for Prescribing Opioids Online Training and Updated Post Course Evaluation New 100 17 0 Form and Instruction 3 Month Follow up Survey
Post visit survey for facility evaluation of US National Authority for Containment of Poliovirus (NAC) performance and improvement New 40 6 0 Form 0920-1050
Post visit survey for facility evaluation of US National Authority for Containment of Poliovirus (NAC) performance and improvement New 40 6 0 Form and Instruction 0920-1050
Preparedness Field Assignee Alumni Survey New 31 3 0 Form and Instruction 0920-1050
Public Health Improvement Training (PHIT) Reaction Survey New 500 100 0 Form and Instruction 0920-1050
Form and Instruction 0920-1050
Public Health Improvement Training Attendee Reaction Survey New 300 25 0 Form none
Form none
Form none
Public Health Improvement Training Attendee Reaction Survey New 480 40 0 Form and Instruction 0920-1050
Form and Instruction 0920-1050
Form and Instruction 0920-1050
Public Health Improvement Training Reaction Survey New 250 100 0 Other-WORD
Form and Instruction 0920-1050
Other-WORD
Form and Instruction 0920-1050
Instruction
Qualitative Feedback on External Training Provided by DSLR New 350 58 0 Form none
Qualitative Feedback on Preparedness Services Provided through DSLR's On-TRAC New 960 160 0 Form 0920-1050
Qualitative Feedback on Tools and Resources Provided by DSLR New 480 80 0 Form none
Raising Healthy Boys: Communications Toolkit New 216 154 0 Other-WORD
Other-WORD
Registration and Feedback for the 2021 Place & Health Conference New 1120 43 0 Form and Instruction 0920-1050
Form and Instruction 0920-1050
SimpleReport Online Surveys New 200 7 0 Form 0920-1050
Special Emphasis Panel (SEP) Peer Review Evaluation for Quality Improvement New 500 167 0 Form and Instruction 0920-1050
Stakeholder Engagement and Feedback -Management of Acute and Chronic Pain New 360 660 0 Instruction
Other-WORD
Stakeholder Engagement and Feedback -Management of Acute and Chronic Pain New 200 300 0 Form and Instruction none
Stakeholder Engagement and Feedback -Management of Acute and Chronic Pain New 360 660 0 Other-WORD
Other-WORD
Strategic Scholars Program Participant Feedback Survey New 37 6 0 Form and Instruction 0920-0879
United States National Authority for the Containment of Polio (NAC) Webinar Survey and Polling Questions New 300 60 0 Form and Instruction 0920-1050
United States National Authority for the Containment of Polio (NAC) Webinar Survey and Polling Questions New 300 60 0 Form 0920-1050
Veto Violence Evaluation Y2 New 580 628 0 Other-WORD
Form 0920-1050
Other-WORD
Form and Instruction 0920-1050
VetoViolence Tools and Training Usability testing New 320 37 0 Form and Instruction 0920-1050
Form and Instruction 0920-1050
Form and Instruction 0920-1050
Form and Instruction 0920-1050
Form and Instruction 0920-1050
Violence Prevention Technical Assistance Center: Needs Assess New 524 112 0 Other-WORD
Other-WORD
WISQARS Data Visualization Mapping Usability Testing Customer Feedback New 36 42 0 Form and Instruction 0920-20QB
Form and Instruction 0920-20QB
WISQARS Data Visualization Usability Testing Customer Feedback New 450 75 0 Form and Instruction n/a
Website Usability Test for Division of Overdose Prevention Websites New 108 34 0 Form and Instruction 0920-1050
Form and Instruction 0920-1050
Form and Instruction 0920-1050
Form and Instruction 0920-1050
Form and Instruction 0920-1050
Form and Instruction 0920-1050
[2022, OD] CDC PRIME ReportStream Customer Experience feedback New 30 1 0 Form and Instruction None
[2022] Select Adapt Evaluate - VetoViolence Usability Testing New 12 15 0 Form and Instruction None
Form and Instruction None
Form and Instruction None
Form and Instruction None
[2022] VetoViolence Training and Resource Development - Health Equity New 1110 77 0 Form and Instruction None
Form and Instruction None
Form and Instruction None
Form and Instruction None
[CSELS DSEPD] CDC Fellowship Recruitment Event Feedback Survey (Nov 2021) New 1000 167 0 Form and Instruction n/a
Other-Survey content in WORD format to facilitate review
Total Burden Actually Used for Information Collections Under Currently Approved ICR: 214949 20413 0  
Total Burden Currently Requested for Information Collections Under Currently Approved ICR: 0 0 0  
To view an IC, click on IC Title