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

View Information Collection (IC)

[PHIC] CDC Funded Recipient Experience Survey 0920-0879-24FK
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction n/a CDC Funded Recipient Experience Survey AttachA_Instrument-Word-Version.docx Yes Yes Fillable Fileable

Health Illness Prevention

 

2,000 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 2,000 0 0 0 0 2,000
Annual IC Time Burden (Hours) 533 0 0 0 0 533
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
CDC Funded Recipient Experience Survey - Web version AttachB_Instrument-Web-Version.docx 04/29/2024
Survey Pre-Notification AttachC_CDC-Survey-Prenotification.docx 04/29/2024
Survey Notification Email AttachD_Survey-Notification-Email.docx 04/29/2024
System Generated Survey Reminder Email AttachE_System-Gen-Survey-Reminder-Emails.docx 04/29/2024
Personal Survey Reminder Email AttachF_Personal-Survey-Reminder-Email.docx 04/29/2024
Final Email Reminder AttachG_PO-Final-Reminder-Email.docx 04/29/2024
SSA SSA_Apr262024_FRES_final.docx 04/29/2024
SSB SSB_Apr262024_FRES_final.docx 04/29/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.