View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	Customer Experience Surveys for the Azure Virtual Desktop Infrastructure Pilot at the Center for Information Technology (CIT)	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	1	Survey	CIT Web Satisfaction Survey Microsoft Form.docx		Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title: Records of Participants in Programs and Respondents in Surveys Used to Evaluate Programs of the Public Health Service	FR Citation: 83 FR 6591

Number of Respondents: 30	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

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	30	0	30	0	0	0
Annual IC Time Burden (Hours)	10	0	10	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
Template	Template CIT Web Satisfaction Survey OMB Form 8.17.23.docx	08/18/2023
Email Correspondence	CIT Web Satisfaction Survey Delivery Instrument Email.docx	08/18/2023

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