View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	[NCEZID] NORS Data Request Customer Satisfaction Survey	Agency IC Tracking Number:	0920-25-0142

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	n/a	Survey	Survey Final.docx		Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 60	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	60	0	60	0	0	0
Annual IC Time Burden (Hours)	5	0	5	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
GenIC Request Template	Service Delivery Fast Track.docx	07/16/2025
Research Determination	Human Subjects Determination.pdf	07/16/2025
NORS Data Release Email Template	NORS Data Release Email Template Release_2025_07_10.docx	07/16/2025

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