View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	[NCHS] Customer Surveys Generic Clearance for the National Center for Health	Agency IC Tracking Number:	0920-25-0167

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	0920-0729	NCHS Website User Customer Satisfaction Survey	Attachment A- 2023 Web User Survey 81325.docx	N/A	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: 1,000	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	1,000	0	1,000	0	0	0
Annual IC Time Burden (Hours)	167	0	167	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
0920-0729 - Supporting Statement A	Sup St A Web Survey 81325.docx	09/02/2025
0920-0729 - Supporting Statement B	Sup St B Web Survey 81325.docx	09/02/2025
Non-Research Determination	NCHS_CustomerSurveys_CRdetermination_08122025_signed.pdf	09/02/2025

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