View Information Collection (IC)
View Information Collection (IC)

View Information Collection (IC)

Centers for Disease Control and Prevention's National Contact Center (CDC-INFO) Web-based Satisfaction Survey 0920-22AZ
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-22AZ 20211025_CDC-INFO Post Chat Survey V5 20211025_CDC-INFO Post Chat Survey V5.docx Yes Yes Fillable Fileable

Health Consumer Health and Safety

 

186 0
   
Private Sector Not-for-profit institutions, Businesses or other for-profits
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 186 0 186 0 0 0
Annual IC Time Burden (Hours) 6 0 6 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Generic Clearance Submission Template_2021_Pilot Chat Survey_Private Sector Respondents_20211018_FINAL Generic Clearance Submission Template_2021_Pilot Chat Survey_Private Sector Respondents_20211018_FINAL.docx 11/24/2021
Generic Clearance Submission Template_2021_Pilot Chat Survey_Individual Respondents_20211018_FINAL Generic Clearance Submission Template_2021_Pilot Chat Survey_Individual Respondents_20211018_FINAL.docx 11/24/2021
CDC-INFO Pilot Chat_Survey Monkey Screenshot_Image 1_20211025 CDC-INFO Pilot Chat_Survey Monkey Screenshot_Image 1_20211025.JPG 11/24/2021
CDC-INFO Pilot Chat_Survey Monkey Screenshot_Image 2_20211025 CDC-INFO Pilot Chat_Survey Monkey Screenshot_Image 2_20211025.JPG 11/24/2021
CDC-INFO Pilot Chat_Survey Monkey Screenshot_Image 3_20211025 CDC-INFO Pilot Chat_Survey Monkey Screenshot_Image 3_20211025.JPG 11/24/2021
CDC-INFO Pilot Chat_Survey Monkey Screenshot_Image 4_20211025 CDC-INFO Pilot Chat_Survey Monkey Screenshot_Image 4_20211025.JPG 11/24/2021
CDC-INFO Pilot Chat_Survey Monkey Screenshot_Image 5_20211025 CDC-INFO Pilot Chat_Survey Monkey Screenshot_Image 5_20211025.JPG 11/24/2021
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.