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View Information Collection (IC)
View Information Collection (IC)
IC Title:
[OADC] CDC-INFO Web-based Satisfaction Survey
Agency IC Tracking Number:
0920-25-0011
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
0920-25-0011
2025 CDC-INFO Email Survey ENGLISH
2025 CDC-INFO Email Survey ENGLISH.docx
Yes
Yes
Fillable Fileable
Form
0920-25-0011
2025 CDC-INFO Email Survey SPANISH
2025 CDC-INFO Email Survey SPANISH.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:
FR Citation:
Number of Respondents:
1,600
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
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
1,600
0
1,600
0
0
0
Annual IC Time Burden (Hours)
80
0
80
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
CDC-INFO_Email_SPANISH_Survey Monkey Screenshot_Image 1
CDC-INFO_Email_SPANISH_Survey Monkey Screenshot_Image 1.PNG
03/19/2025
CDC-INFO_Email_SPANISH_Survey Monkey Screenshot_Image 2
CDC-INFO_Email_SPANISH_Survey Monkey Screenshot_Image 2.PNG
03/19/2025
CDC-INFO_Email_SPANISH_Survey Monkey Screenshot_Image 3
CDC-INFO_Email_SPANISH_Survey Monkey Screenshot_Image 3.PNG
03/19/2025
CDC-INFO_Email_Survey Monkey Screenshot_Image 1
CDC-INFO_Email_Survey Monkey Screenshot_Image 1.PNG
03/19/2025
CDC-INFO_Email_Survey Monkey Screenshot_Image 3
CDC-INFO_Email_Survey Monkey Screenshot_Image 3.PNG
03/19/2025
Generic Clearance Submission Template_10-2025_Email Survey_Individual Respondents
Generic Clearance Submission Template_10-2025_Email Survey_Individual Respondents.docx
03/19/2025
Generic Clearance Submission Template_10-2025_Email Survey_Private Sector Respondents
Generic Clearance Submission Template_10-2025_Email Survey_Private Sector Respondents.docx
03/19/2025
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.