View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	: Office of the Assistant Secretary for Health Office of Disease Prevention and Health Promotion External Customer Satisfaction Survey	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	ODPHP External Customer Satisfaction Survey	Customer Satisfaction Survey	Attachment A. ODPHP External Customer Satisfaction Survey.docx		Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 22,500	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions, Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 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	22,500	0	22,500	0	0	0
Annual IC Time Burden (Hours)	1,875	0	1,875	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
: Office of the Assistant Secretary for Health Office of Disease Prevention and Health Promotion External Customer Satisfaction Survey	MEMO_FastTrack Generic Clearance Submission_ODPHP customer satisfaction survey_3.6.23.docx	03/17/2023

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.