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

View Information Collection (IC)

[NCEZID] DCIPHER External User Satisfaction Survey 0920-1071-23DE
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-1071 DCIPHER External User Satisfaction Survey DCIPHER External User Satisfaction Survey.pdf Yes Yes Fillable Fileable

Health Public Health Monitoring

 

400 0
   
State, Local, and Tribal Governments
 
   100 %

  Requested 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 400 0 0 0 0 400
Annual IC Time Burden (Hours) 67 0 0 0 0 67
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
DCIPHER External User Satisfaction Survey Email DCIPHER External User Satisfaction Survey Email.docx 03/03/2023
Human Subjects Determination Human Subjects Determination.pdf 03/03/2023
Service Delivery Fast Track_DCIPHER External Use Satisfaction Survey Service Delivery Fast Track Template_DCIPHER External User Satisfaction Survey.docx 03/03/2023
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.