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) Unchanged 408 34 0 Form and Instruction 0920-1050
American Indian, Alaska Native, Native Hawaiian Career Expo Post-Event Survey Unchanged 500 83 0 Form and Instruction 0920-1050
Pilot Evaluation for Cervical Cancer Clinical Decision Support Tools Unchanged 45 45 0 Form and Instruction 0920-1050
2023 Epidemic Intelligence Service (EIS) Conference and Match Feedback Surveys Unchanged 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 Unchanged 1400 163 0 Form and Instruction 0920-1050 (25CE)
Instruction
Instruction
American Indian, Alaska Native, Native Hawaiian Career Expo Post-Event Survey Unchanged 500 83 0 Form and Instruction 0920-1050
CDC Usability and Digital Content Testing Unchanged 12000 4000 0 Form and Instruction 0920-1050
CDC-INFO Web-based Satisfaction Survey for the Chatbot Tool & People Using Live Chat Service Unchanged 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 Unchanged 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 Unchanged 110 260 0 Form and Instruction 0920-23AE
Clinical Laboratory Partners Forum Meeting Evaluation Survey 2022 Unchanged 40 3 0 Form and Instruction n/a
Clinical Laboratory Partners Forum Meeting Evaluation Survey 2024 Unchanged 66 5 0 Form 0920-1050
Clinical Practice Guideline Outreach and Communication Materials Feedback Unchanged 16 4 0 Form and Instruction 0920-1050
ETSB Customer Satisfaction Survey Unchanged 120 10 0 Form and Instruction 0920-1050
Electronic Federal Select Agent Program (eFSAP) Information System Survey Unchanged 899 150 0 Form and Instruction 0920-1050
Electronic Import Permit Program (eIPP) Information System Survey Unchanged 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 Unchanged 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 Unchanged 300 300 0 Instruction
Form and Instruction n/a
Improving Services of Vaccination Rate Tracking among People Experiencing Homelessness (PEH) Unchanged 68 68 0 Form and Instruction 0920-1050
My Family Health Portrait Cancer mobile application Unchanged 1200 2 0 Form and Instruction 0920-1050
My Family Health Portrait Usability Study Unchanged 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 Unchanged 320 108 0 Form and Instruction 0920-1050
Instruction
Instruction
Other-WORD
PHDI Geotagging Beta Survey Unchanged 64 16 0 Form 0920-1050
Project ECHO Biosafety Community of Practice: Registration and Follow-up Surveys Unchanged 85 38 0 Form and Instruction 0920-1050
Regulated Entity Technology Survey Unchanged 2264 377 0 Form and Instruction 0920-1050
Strategic Scholars Program Participant Feedback Survey Unchanged 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 Unchanged 350 58 0 Form and Instruction 0920-1050
Survey for Soliciting Feedback on National Healthcare Safety Network Education and Training Assessment Unchanged 43537 10884 0 Form and Instruction 0920-1050
Translating Evidence to Practice Implementation Tools for Preventing Overdose Unchanged 540 189 0 Form and Instruction 0920-1050
Form and Instruction 0920-1050
[CGH] ADDIE Model Analysis Unchanged 10 5 0 Form and Instruction 0920-23GW
[CGH] Shiriki Virtual Community Annual Planning Survey Unchanged 200 17 0 Form and Instruction 0920-1050
[CLSR/DLS] Project ECHO Biosafety Community of Practice Demographic and Follow-up Surveys Unchanged 150 73 0 Form and Instruction 0920-1050
[CPR] Annual Import Permit Program Survey (genIC) Unchanged 750 188 0 Form and Instruction 0920-1050
[CPR] NAC Statement of Responsibility (SOR) Survey Unchanged 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 Unchanged 40 7 0 Form and Instruction n/a
[CPR] eFSAP information System Survey Unchanged 750 188 0 Form and Instruction 0920-1050-2ED
[CPR]NAC Post-visit Survey Unchanged 40 7 0 Form 0920-25-0053
[CPR]ORR - Public Health Emergency Management (PHEM) Emerging Leadership Program (ELP) Training Feedback Unchanged 45 45 0 Form and Instruction 0920-23HN
[CSELS, 2022] 2023 CDC Epidemic Intelligence Service Candidate Feedback Survey Unchanged 186 31 0 Form and Instruction None
[CSELS] 2023 CDC DWD Fellowship Webinar Customer Feedback Survey Unchanged 600 70 0 Other-WORD
Form and Instruction 0920-1050
[CSELS] 2023 CDC Science Ambassador Fellowship Exit Survey Unchanged 26 5 0 Other-WORD
Form and Instruction 0920-1050
Other-Email
Other-Email
[CSELS] CLSR/DLS CLPF Meeting Evaluation Survey 2023 Unchanged 50 4 0 Form and Instruction 0920-23HI
[CSELS] CLSRDLS CDC OneLab Summit Evaluation Unchanged 854 142 0 Form and Instruction 0920-1050
[CSELS] ELI Fellowship End of Year Survey Unchanged 30 4 0 Form and Instruction n/a
Form and Instruction n/a
[CSELS] Epi Info User Survey Unchanged 1100 367 0 Form and Instruction 0920-1050-23GH
[CSELS] GenIC, "NBS Page Builder Demo User Feedback Survey Unchanged 27 4 0 Form and Instruction 0920-1050-24DG
[CSELS] Project ECHO Biosafety Community of Practice: Registration and Follow-up Surveys (2022-2023) Unchanged 85 38 0 Form and Instruction None
[CSELS] Science Ambassador Fellowship (SAF) Summer Course Satisfaction Survey (2023) Unchanged 40 8 0 Form and Instruction None
Other-WORD document to facilitate content review of SAF Survey
[CSELS] Science Ambassador Regional Training Workshop Unchanged 100 20 0 Form and Instruction 0920-23CE
[CSELS] [PHIC] PH LEADS Post-training Evaluation (2023) Unchanged 25 50 0 Form and Instruction 0920-23HO
[CSELS_DSL] APHL-CDC Career Pathways in Public Health Laboratory Science Program Surveys Unchanged 5800 483 0 Form and Instruction 0920-1050
[CSLS] Strategic Scholars Program Participant Feedback Survey Unchanged 23 3 0 Form and Instruction 0920-23GD
[CSTLTS] 2023 Public Health Improvement Training Attendee Reaction Surveys - Private Sector Attendees Unchanged 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 Unchanged 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 Unchanged 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 Unchanged 40 3 0 Form and Instruction n/a
[NCCDPHP] 2023 Annual Evaluators' Network Member Survey Unchanged 190 32 0 Form and Instruction None
[NCCDPHP] 2024 Evaluators' Network, Member Survey Unchanged 187 31 0 Form and Instruction n/a
[NCCDPHP] Cancer Screening Change Package Evaluation Unchanged 135 23 0 Form and Instruction 0920-1050
[NCCDPHP] My Family Health Portrait Cancer mobile application Unchanged 1200 10 0 Other-WORD
Form 0920-1050
[NCCDPHP] Prevention Research Centers (PRC) Program Technical Assistance Feedback Survey Unchanged 160 40 0 Form and Instruction 0920-24AF
[NCCDPHP] Prevention Research Centers (PRC) Program Technical Assistance Feedback Survey Unchanged 160 40 0 Form and Instruction n/a
Form and Instruction n/a
[NCCDPHP] US Cancer Statistics Data Visualizations Tool -Government Sector Unchanged 86 31 0 Form and Instruction 0920-1050-23GI
[NCCDPHP] USCS Data Visualizations Tool- Private Sector Unchanged 189 65 0 Form and Instruction 0920-23GI
[NCCDPHP] User Feedback – U.S. Cancer Statistics Public Use Databases – Private Sector Unchanged 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 Unchanged 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 Unchanged 1500 300 0 Form and Instruction 0920-1050
[NCEZID] 2024 Infection Prevention and Control Webinar Training Series - Post Event (Session) Feedback Unchanged 1500 300 0 Form and Instruction 0920-1050
[NCIPC] Comprehensive Suicide Prevention (CSP) Evaluation Learning Network Questionnaire Unchanged 320 53 0 Form and Instruction n/a
[NCIPC] Core State Injury Prevention Program (Core SIPP) Unchanged 320 54 0 Form and Instruction 0920-1050
Form and Instruction 0920-1050
[NCIPC] Essentials for Parenting Toddlers Customer Service Feedback Unchanged 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 Unchanged 32 32 0 Form and Instruction None
[NCIPC] Special Emphasis Panel (SEP) Peer Review Evaluation Unchanged 350 88 0 Other-WORD
[NCIPC] Three-Month Survey: Module WB4518, Talking about Naloxone Unchanged 100 25 0 Form and Instruction n/a
[NCIPC] VetoViolence Training Satisfaction Survey Unchanged 6000 500 0 Form and Instruction 0920-1050
[NCIPC] Violence Prevention Technical Assistance Center Participant Feedback Forms Unchanged 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 Unchanged 30 5 0 Form and Instruction 0920-1050
Form and Instruction 0920-1050
[OACD] CDC-INFO IVR Survey - Individual Unchanged 93000 4700 0 Form 25-0009
Form 25-0009
[OADC] 2022 CDC Usability Testing and Digital Content Testing Modified 4700 3100 0 Form and Instruction 0920-1050
Form 0920-25-0112
[OADC] CDC DDT Recipient Satisfaction Survey Unchanged 120 10 0 Form and Instruction 0920-1050
[OADC] CDC Digital Content Customer Satisfaction Survey Unchanged 205173 28218 0 Form and Instruction n/a
[OADC] CDC Flu Usability Testing Unchanged 60 20 0 Form and Instruction 0920-1050
[OADC] CDC Taxonomy Testing Unchanged 300 75 0 Other-WORD
[OADC] CDC-INFO Web-based Satisfaction Survey Unchanged 1600 80 0 Form 0920-25-0011
Form 0920-25-0011
[OADPS] Feedback on Innovation Hub Training (2023) Unchanged 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 Unchanged 93000 4650 0 Form and Instruction 0920-1050
Form and Instruction 0920-1050
[OD] CDC-INFO IVR Customer Satisfaction Survey - Private Sector - Phone Unchanged 14000 700 0 Form and Instruction 0920-1050
Form and Instruction 0920-1050
[OD] CDC-INFO Web-based Customer Satisfaction Survey - Individual Respondent - Email Unchanged 1600 80 0 Form and Instruction 0920-1050
Form and Instruction 0920-1050
[OD] CDC-INFO Web-based Customer Satisfaction Survey - Private Sector - Email Unchanged 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 Unchanged 500 83 0 Form and Instruction n/a
[OLSS] CDC Laboratory Courses for External Audiences Learner Feedback Survey Unchanged 300 50 0 Form and Instruction n/a
Form and Instruction n/a
[OLSS] Laboratory Training Facility (LTF): Tours/Visits Unchanged 250 83 0 Form and Instruction n/a
[OLSS] Project ECHO Biosafety Community of Practice: Demographic and Follow-up Surveys Unchanged 7500 250 0 Form and Instruction 0920-1050
[OLSS] Project ECHO Biosafety Community of Practice: Registration and Follow-up Surveys Unchanged 500 241 0 Form 0920-25BH
[OPHDST] : eCR Viewer Data Integration Building Blocks (DIBBs) Online Survey Unchanged 200 7 0 Form 0920-1050
[OPHDST] Advancing Data for Public Health Action Partner Survey Unchanged 500 125 0 Form 0920-25AK
[OPHDST] Discussions for Improving Case Data Entry Workflows Unchanged 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 Unchanged 200 300 0 Form and Instruction n/a
[OPHDST] HMIS and IIS Integration Survey to Improve Vaccination Rate Tracking among People Experiencing Homelessness (PEH) Unchanged 550 92 0 Form and Instruction 0920-1050
[OPHDST] Jurisdictional Staff Feedback to Improve Case Interview Training Unchanged 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 Unchanged 24 192 0 Instruction
[OPHDST] National Electronic Disease Surveillance System Base System User Training Material Preference Survey Unchanged 27 2 0 Form and Instruction 0920-1050
[OPHDST] National Syndromic Surveillance (NSSP) Community of Practice (CoP) Survey Unchanged 1400 350 0 Form and Instruction 0920-1050
[OPHDST] ReportStream Usability Survey Unchanged 40 7 0 Form and Instruction 0920-1050
[OPHDST] Respiratory Virus Response (RVR) Website Content Feedback Survey Unchanged 1000 50 0 Form and Instruction 0920-1050
[OPHDST] WAI Learning Community Survey Unchanged 60 20 0 Form 0920-25CS
[OPHDST] Workforce Acceleration Initiative (WAI) Mentorship Survey Unchanged 180 30 0 Form and Instruction n/a
[OPHDST] Workforce Acceleration Initiative (WAI) Public Health Agency Narrative Reports Unchanged 196 270 0 Form and Instruction 0920-1050
[OPHDST] Workforce Acceleration Initiative (WAI) Retention Survey Unchanged 49 12 0 Form and Instruction 0920-1050
[OPHDST] Workforce Acceleration Initiative (WAI) Technical Assistance Follow-up Survey Unchanged 30 5 0 Form and Instruction n/a
[OPHDST] eICR Data Project Unchanged 15 15 0 Form 0920-25BW
[ORR] DSLR Tools and Resources Survey Unchanged 480 80 0 Form and Instruction 0920-1050
[ORR] CDC Threat Agnostic Program Engagement Form Unchanged 30 2 0 Form and Instruction 0920-1050
[ORR] DSLR Training Survey Unchanged 1000 167 0 Form and Instruction 0920-1050
[ORR] DSLR Training Survey Unchanged 350 58 0 Form and Instruction 0920-1050
[ORR] OnTrac Survey Unchanged 960 160 0 Form and Instruction 0920-1050
[OS NCCDPHP] Award Management Platform Customer Satisfaction Surveys-Division of Oral Health Unchanged 47 2 0 Form and Instruction 0920-1050
[OS] DMI Evaluation Survey for soliciting feedback on the Data Modernization Initiative Learning Community (DMI LC) Unchanged 350 58 0 Form and Instruction 0920-1050
[OS] SimpleReport Touchpoint Surveys v2 Unchanged 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) Unchanged 64 16 0 Form and Instruction n/a
[PHIC] 2024 CDC Division of Workforce Development (DWD) Fellowship Webinar Customer Service Feedback Survey Unchanged 1600 187 0 Form and Instruction 0920-1050
[PHIC] 2024 Epidemic Intelligence Service (EIS) Conference and Match Customer Service Feedback Surveys Unchanged 1475 88 0 Form and Instruction n/a
Form and Instruction n/a
[PHIC] 2024 Public Health Improvement Training (PHIT) Reaction Surveys - STLT Attendees Unchanged 1085 72 0 Form 0920-24EW
Form 0920-24EW
[PHIC] 2024 Public Health Improvement Training (PHIT) Reaction Surveys – Private Sector Attendees Unchanged 112 7 0 Form and Instruction 0920-1050
Form and Instruction 0920-1050
[PHIC] 2024 Science Ambassador Regional Training Workshop Satisfaction Survey Unchanged 100 21 0 Form 0920-1050-24DX
[PHIC] PHHS Block Grant and PHIG Listening Sessions (2024) Unchanged 58 87 0 Form and Instruction 0920-1050
[PHIC] Strategic Scholars Program Feedback Survey 2024 Unchanged 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  
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