Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Participant Assessment of Science Integrity Branch (SIB) Trainings (2022-2024) New 408 34 0 Form and Instruction 0920-1050
American Indian, Alaska Native, Native Hawaiian Career Expo Post-Event Survey New 500 83 0 Form and Instruction 0920-1050
Pilot Evaluation for Cervical Cancer Clinical Decision Support Tools New 45 45 0 Form and Instruction 0920-1050
2023 Epidemic Intelligence Service (EIS) Conference and Match Feedback Surveys New 1184 73 0 Form and Instruction n/a
Form and Instruction n/a
2025 CDC Division of Workforce Development (DWD) Fellowship Webinar Customer Service Feedback Survey New 1400 163 0 Form and Instruction 0920-1050 (25CE)
Instruction
Instruction
American Indian, Alaska Native, Native Hawaiian Career Expo Post-Event Survey New 500 83 0 Form and Instruction 0920-1050
CDC Usability and Digital Content Testing New 12000 4000 0 Form and Instruction 0920-1050
CDC-INFO Web-based Satisfaction Survey for the Chatbot Tool & People Using Live Chat Service New 1380 69 0 Form and Instruction 0920-1050
Form and Instruction 0920-1050
Form and Instruction 0920-1050
Case Service Design: A Day in the Life Qualitative Study New 60 240 0 Other-Invitation
Centers for Disease Control and Prevention (CDC) Vaccine Distribution and Administration Tracking (VDAT) Help Desk (HD) Customer Satisfaction (CSAT) Survey New 110 260 0 Form and Instruction 0920-23AE
Clinical Laboratory Partners Forum Meeting Evaluation Survey 2022 New 40 3 0 Form and Instruction n/a
Clinical Laboratory Partners Forum Meeting Evaluation Survey 2024 New 66 5 0 Form 0920-1050
Clinical Practice Guideline Outreach and Communication Materials Feedback New 16 4 0 Form and Instruction 0920-1050
ETSB Customer Satisfaction Survey New 120 10 0 Form and Instruction 0920-1050
Electronic Federal Select Agent Program (eFSAP) Information System Survey New 899 150 0 Form and Instruction 0920-1050
Electronic Import Permit Program (eIPP) Information System Survey New 200 33 0 Form and Instruction 0920-1050-22HB
Focus Groups to identify pain points and opportunities in collecting, managing, and using data to inform the design of Building Blocks New 128 128 0 Form and Instruction 0920-1050
Identifying customers' pain points and opportunities to collect, manage, and use data to inform the design of shared services between CDC and state, territorial, and local ph authoriities New 300 300 0 Instruction
Form and Instruction n/a
Improving Services of Vaccination Rate Tracking among People Experiencing Homelessness (PEH) New 68 68 0 Form and Instruction 0920-1050
My Family Health Portrait Cancer mobile application New 1200 2 0 Form and Instruction 0920-1050
My Family Health Portrait Usability Study New 160 137 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
My Mobility Product Testing Activities New 320 108 0 Form and Instruction 0920-1050
Instruction
Instruction
Other-WORD
PHDI Geotagging Beta Survey New 64 16 0 Form 0920-1050
Project ECHO Biosafety Community of Practice: Registration and Follow-up Surveys New 85 38 0 Form and Instruction 0920-1050
Regulated Entity Technology Survey New 2264 377 0 Form and Instruction 0920-1050
Strategic Scholars Program Participant Feedback Survey New 40 4 0 Form and Instruction 0920-1050
Strengthening Public Health Systems and Services through National Partnerships to Improve and Protect the Nation's Health CoAg New 350 58 0 Form and Instruction 0920-1050
Survey for Soliciting Feedback on National Healthcare Safety Network Education and Training Assessment New 43537 10884 0 Form and Instruction 0920-1050
Translating Evidence to Practice Implementation Tools for Preventing Overdose New 540 189 0 Form and Instruction 0920-1050
Form and Instruction 0920-1050
[CGH] ADDIE Model Analysis New 10 5 0 Form and Instruction 0920-23GW
[CGH] Shiriki Virtual Community Annual Planning Survey New 200 17 0 Form and Instruction 0920-1050
[CLSR/DLS] Project ECHO Biosafety Community of Practice Demographic and Follow-up Surveys New 150 73 0 Form and Instruction 0920-1050
[CPR] Annual Import Permit Program Survey (genIC) New 750 188 0 Form and Instruction 0920-1050
[CPR] NAC Statement of Responsibility (SOR) Survey New 180 30 0 Form 0920-24FX
[CPR] Post Visit Survey for Facility Evaluation of US National Authority for Containment of Poliovirus (NAC) Performance and Improvement New 40 7 0 Form and Instruction n/a
[CPR] eFSAP information System Survey New 750 188 0 Form and Instruction 0920-1050-2ED
[CPR]NAC Post-visit Survey New 40 7 0 Form 0920-25-0053
[CPR]ORR - Public Health Emergency Management (PHEM) Emerging Leadership Program (ELP) Training Feedback New 45 45 0 Form and Instruction 0920-23HN
[CSELS, 2022] 2023 CDC Epidemic Intelligence Service Candidate Feedback Survey New 186 31 0 Form and Instruction None
[CSELS] 2023 CDC DWD Fellowship Webinar Customer Feedback Survey New 600 70 0 Other-WORD
Form and Instruction 0920-1050
[CSELS] 2023 CDC Science Ambassador Fellowship Exit Survey New 26 5 0 Other-WORD
Form and Instruction 0920-1050
Other-Email
Other-Email
[CSELS] CLSR/DLS CLPF Meeting Evaluation Survey 2023 New 50 4 0 Form and Instruction 0920-23HI
[CSELS] CLSRDLS CDC OneLab Summit Evaluation New 854 142 0 Form and Instruction 0920-1050
[CSELS] ELI Fellowship End of Year Survey New 30 4 0 Form and Instruction n/a
Form and Instruction n/a
[CSELS] Epi Info User Survey New 1100 367 0 Form and Instruction 0920-1050-23GH
[CSELS] GenIC, "NBS Page Builder Demo User Feedback Survey New 27 4 0 Form and Instruction 0920-1050-24DG
[CSELS] Project ECHO Biosafety Community of Practice: Registration and Follow-up Surveys (2022-2023) New 85 38 0 Form and Instruction None
[CSELS] Science Ambassador Fellowship (SAF) Summer Course Satisfaction Survey (2023) New 40 8 0 Form and Instruction None
Other-WORD document to facilitate content review of SAF Survey
[CSELS] Science Ambassador Regional Training Workshop New 100 20 0 Form and Instruction 0920-23CE
[CSELS] [PHIC] PH LEADS Post-training Evaluation (2023) New 25 50 0 Form and Instruction 0920-23HO
[CSELS_DSL] APHL-CDC Career Pathways in Public Health Laboratory Science Program Surveys New 5800 483 0 Form and Instruction 0920-1050
[CSLS] Strategic Scholars Program Participant Feedback Survey New 23 3 0 Form and Instruction 0920-23GD
[CSTLTS] 2023 Public Health Improvement Training Attendee Reaction Surveys - Private Sector Attendees New 775 30 0 Form and Instruction None
Form and Instruction None
Form and Instruction None
Form and Instruction None
Other-Screenshot of Survey Access from Event Home Screen and Centralized Survey Landing Page
[CSTLTS] 2023 Public Health Improvement Training Attendee Reaction Surveys - STLT Attendees New 6975 270 0 Form and Instruction None
Form and Instruction None
Form and Instruction None
Form and Instruction None
Other-Screenshot of Survey Access from Event Home Screen and Centralized Survey Landing Page
[CSTLTS] 2023 Public Health Improvement Training Reaction Surveys – Private Sector Attendees New 775 30 0 Form and Instruction 0920-23EJ
Form and Instruction 0920-23EJ
Form and Instruction 0920-23EJ
Form and Instruction 0920-23EJ
[GHC] Frontline Healthcare Workforce Strengthening Project New 40 3 0 Form and Instruction n/a
[NCCDPHP] 2023 Annual Evaluators' Network Member Survey New 190 32 0 Form and Instruction None
[NCCDPHP] 2024 Evaluators' Network, Member Survey New 187 31 0 Form and Instruction n/a
[NCCDPHP] Cancer Screening Change Package Evaluation New 135 23 0 Form and Instruction 0920-1050
[NCCDPHP] My Family Health Portrait Cancer mobile application New 1200 10 0 Other-WORD
Form 0920-1050
[NCCDPHP] Prevention Research Centers (PRC) Program Technical Assistance Feedback Survey New 160 40 0 Form and Instruction 0920-24AF
[NCCDPHP] Prevention Research Centers (PRC) Program Technical Assistance Feedback Survey New 160 40 0 Form and Instruction n/a
Form and Instruction n/a
[NCCDPHP] US Cancer Statistics Data Visualizations Tool -Government Sector New 86 31 0 Form and Instruction 0920-1050-23GI
[NCCDPHP] USCS Data Visualizations Tool- Private Sector New 189 65 0 Form and Instruction 0920-23GI
[NCCDPHP] User Feedback – U.S. Cancer Statistics Public Use Databases – Private Sector New 45 45 0 Form and Instruction n/a
Form and Instruction n/a
[NCCDPHP] User Feedback – U.S. Cancer Statistics Public Use Databases – State Health Department New 30 30 0 Form and Instruction n/a
Form and Instruction n/a
[NCEZID] 2024 Infection Prevention and Control Webinar Training Series - Post Event (Series) Feedback New 1500 300 0 Form and Instruction 0920-1050
[NCEZID] 2024 Infection Prevention and Control Webinar Training Series - Post Event (Session) Feedback New 1500 300 0 Form and Instruction 0920-1050
[NCIPC] Comprehensive Suicide Prevention (CSP) Evaluation Learning Network Questionnaire New 320 53 0 Form and Instruction n/a
[NCIPC] Core State Injury Prevention Program (Core SIPP) New 320 54 0 Form and Instruction 0920-1050
Form and Instruction 0920-1050
[NCIPC] Essentials for Parenting Toddlers Customer Service Feedback New 460 96 0 Form and Instruction 0929-1050
Form and Instruction 0929-1050
Form and Instruction 0929-1050
Form and Instruction 0929-1050
Form and Instruction 0929-1050
Form and Instruction 0929-1050
[NCIPC] Opioid Rapid Response Patient Absorption Interviews New 32 32 0 Form and Instruction None
[NCIPC] Special Emphasis Panel (SEP) Peer Review Evaluation New 350 88 0 Other-WORD
[NCIPC] Three-Month Survey: Module WB4518, Talking about Naloxone New 100 25 0 Form and Instruction n/a
[NCIPC] VetoViolence Training Satisfaction Survey New 6000 500 0 Form and Instruction 0920-1050
[NCIPC] Violence Prevention Technical Assistance Center Participant Feedback Forms New 725 131 0 Form and Instruction 0920-1050
Form and Instruction 0920-1050
Form and Instruction 0920-1050
Form and Instruction 0920-1050
[NCIRD] DEIA Mentorship Program New 30 5 0 Form and Instruction 0920-1050
Form and Instruction 0920-1050
[OACD] CDC-INFO IVR Survey - Individual New 93000 4700 0 Form 25-0009
Form 25-0009
[OADC] 2022 CDC Usability Testing and Digital Content Testing New 4700 3100 0 Form and Instruction 0920-1050
[OADC] CDC DDT Recipient Satisfaction Survey New 120 10 0 Form and Instruction 0920-1050
[OADC] CDC Digital Content Customer Satisfaction Survey New 205173 28218 0 Form and Instruction n/a
[OADC] CDC Flu Usability Testing New 60 20 0 Form and Instruction 0920-1050
[OADC] CDC Taxonomy Testing New 300 75 0 Other-WORD
[OADC] CDC-INFO Web-based Satisfaction Survey New 1600 80 0 Form 0920-25-0011
Form 0920-25-0011
[OADPS] Feedback on Innovation Hub Training (2023) New 125 8 0 Form and Instruction None
Form and Instruction None
Form and Instruction None
Form and Instruction None
Form and Instruction None
[OD] CDC-INFO IVR Customer Satisfaction Survey - Individual Respondent - Phone New 93000 4650 0 Form and Instruction 0920-1050
Form and Instruction 0920-1050
[OD] CDC-INFO IVR Customer Satisfaction Survey - Private Sector - Phone New 14000 700 0 Form and Instruction 0920-1050
Form and Instruction 0920-1050
[OD] CDC-INFO Web-based Customer Satisfaction Survey - Individual Respondent - Email New 1600 80 0 Form and Instruction 0920-1050
Form and Instruction 0920-1050
[OD] CDC-INFO Web-based Customer Satisfaction Survey - Private Sector - Email New 970 49 0 Form and Instruction 0920-1050
Form and Instruction 0920-1050
[OD] Focus Groups to Identify Customers' Pain Points and Opportunities in Collecting, Managing, and Using Data – to Inform the Design of Building Blocks New 500 83 0 Form and Instruction n/a
[OLSS] CDC Laboratory Courses for External Audiences Learner Feedback Survey New 300 50 0 Form and Instruction n/a
Form and Instruction n/a
[OLSS] Laboratory Training Facility (LTF): Tours/Visits New 250 83 0 Form and Instruction n/a
[OLSS] Project ECHO Biosafety Community of Practice: Demographic and Follow-up Surveys New 7500 250 0 Form and Instruction 0920-1050
[OLSS] Project ECHO Biosafety Community of Practice: Registration and Follow-up Surveys New 500 241 0 Form 0920-25BH
[OPHDST] : eCR Viewer Data Integration Building Blocks (DIBBs) Online Survey New 200 7 0 Form 0920-1050
[OPHDST] Advancing Data for Public Health Action Partner Survey New 500 125 0 Form 0920-25AK
[OPHDST] Discussions for Improving Case Data Entry Workflows New 50 50 0 Form and Instruction 0920-1050
[OPHDST] Focus Groups to Provide Feedback on the FY 2024 Public Health Data Strategy Goals and Milestones New 200 300 0 Form and Instruction n/a
[OPHDST] HMIS and IIS Integration Survey to Improve Vaccination Rate Tracking among People Experiencing Homelessness (PEH) New 550 92 0 Form and Instruction 0920-1050
[OPHDST] Jurisdictional Staff Feedback to Improve Case Interview Training New 177 107 0 Form and Instruction 0920-1050
Form and Instruction 0920-1050
Form and Instruction 0920-1050
Form and Instruction 0920-1050
[OPHDST] MVPS CaseBridge New 24 192 0 Instruction
[OPHDST] National Electronic Disease Surveillance System Base System User Training Material Preference Survey New 27 2 0 Form and Instruction 0920-1050
[OPHDST] National Syndromic Surveillance (NSSP) Community of Practice (CoP) Survey New 1400 350 0 Form and Instruction 0920-1050
[OPHDST] ReportStream Usability Survey New 40 7 0 Form and Instruction 0920-1050
[OPHDST] Respiratory Virus Response (RVR) Website Content Feedback Survey New 1000 50 0 Form and Instruction 0920-1050
[OPHDST] WAI Learning Community Survey New 60 20 0 Form 0920-25CS
[OPHDST] Workforce Acceleration Initiative (WAI) Mentorship Survey New 180 30 0 Form and Instruction n/a
[OPHDST] Workforce Acceleration Initiative (WAI) Public Health Agency Narrative Reports New 196 270 0 Form and Instruction 0920-1050
[OPHDST] Workforce Acceleration Initiative (WAI) Retention Survey New 49 12 0 Form and Instruction 0920-1050
[OPHDST] Workforce Acceleration Initiative (WAI) Technical Assistance Follow-up Survey New 30 5 0 Form and Instruction n/a
[OPHDST] eICR Data Project New 15 15 0 Form 0920-25BW
[ORR] DSLR Tools and Resources Survey New 480 80 0 Form and Instruction 0920-1050
[ORR] CDC Threat Agnostic Program Engagement Form New 30 2 0 Form and Instruction 0920-1050
[ORR] DSLR Training Survey New 1000 167 0 Form and Instruction 0920-1050
[ORR] DSLR Training Survey New 350 58 0 Form and Instruction 0920-1050
[ORR] OnTrac Survey New 960 160 0 Form and Instruction 0920-1050
[OS NCCDPHP] Award Management Platform Customer Satisfaction Surveys-Division of Oral Health New 47 2 0 Form and Instruction 0920-1050
[OS] DMI Evaluation Survey for soliciting feedback on the Data Modernization Initiative Learning Community (DMI LC) New 350 58 0 Form and Instruction 0920-1050
[OS] SimpleReport Touchpoint Surveys v2 New 200 7 0 Form and Instruction 0920-1050
[OS] User Experience Survey to Understand What's Working and What Can be Improved with National Electronic Disease Surveillance System (NEDSS) Base System (NBS) New 64 16 0 Form and Instruction n/a
[PHIC] 2024 CDC Division of Workforce Development (DWD) Fellowship Webinar Customer Service Feedback Survey New 1600 187 0 Form and Instruction 0920-1050
[PHIC] 2024 Epidemic Intelligence Service (EIS) Conference and Match Customer Service Feedback Surveys New 1475 88 0 Form and Instruction n/a
Form and Instruction n/a
[PHIC] 2024 Public Health Improvement Training (PHIT) Reaction Surveys - STLT Attendees New 1085 72 0 Form 0920-24EW
Form 0920-24EW
[PHIC] 2024 Public Health Improvement Training (PHIT) Reaction Surveys – Private Sector Attendees New 112 7 0 Form and Instruction 0920-1050
Form and Instruction 0920-1050
[PHIC] 2024 Science Ambassador Regional Training Workshop Satisfaction Survey New 100 21 0 Form 0920-1050-24DX
[PHIC] PHHS Block Grant and PHIG Listening Sessions (2024) New 58 87 0 Form and Instruction 0920-1050
[PHIC] Strategic Scholars Program Feedback Survey 2024 New 28 5 0 Form 0920-24HF
Total Burden Actually Used for Information Collections Under Currently Approved ICR: 537714 66665 0  
Total Burden Currently Requested for Information Collections Under Currently Approved ICR: 0 0 0  
To view an IC, click on IC Title