View Information Collection Request (ICR) Package
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Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.
View Generic ICR - OIRA Conclusion
OMB Control No:
0923-0047
ICR Reference No:
201510-0923-001
Status:
Historical Active
Previous ICR Reference No:
201305-0923-003
Agency/Subagency:
HHS/TSDR
Agency Tracking No:
19457
Title:
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
Type of Information Collection:
Revision of a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved without change
Conclusion Date:
12/15/2015
Retrieve Notice of Action (NOA)
Date Received in OIRA:
10/22/2015
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
12/31/2018
36 Months From Approved
05/31/2016
Responses
24,900
0
8,400
Time Burden (Hours)
21,225
0
7,275
Cost Burden (Dollars)
0
0
0
Abstract:
The collection of information is necessary to enable the Agency to garner customer and stakeholder feedback in an efficient, timely manner, in accordance with our commitment to improving service delivery. The information collected from our customers and stakeholders will help ensure that users have an effective, efficient, and satisfying experience with the Agency's programs.
Authorizing Statute(s):
EO: EO 12862 Name/Subject of EO: Setting Customer Service Standards
Citations for New Statutory Requirements:
None
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
Not associated with rulemaking
Federal Register Notices & Comments
60-day Notice:
Federal Register Citation:
Citation Date:
79 FR 24432
04/30/2014
30-day Notice:
Federal Register Citation:
Citation Date:
80 FR 61423
10/13/2015
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
26
IC Title
Form No.
Form Name
2018 Customer Satisfaction Survey for CDC NCEH NSMBB Laboratory Accredited to ISO 17043 (Proficiency Testing)
0920-1071
CDC Laboratory Customer Satisfaction Survey - CDC NCEH NSMBB Laboratory Proficiency Testing
CDC GIS Day Stakeholder Registration and Feedback
none, none
Registration and Feedback
,
Where in the World quiz
CDC GIS Website Content Strategy Survey
0923-0047
CDC GIS Website Content Strategy Survey
CDC's Social Vulnerability Index Webpage Survey
NA
Survey for CDC's Social Vulnerability Index (SVI) Website - Screenshot
CDC/ATSDR Needs Assessment of GIS use in Public Health Emergencies
0923-17AZF, 0923-17AZF
Attachment B GPHEW NA Survey Text
,
Attachment C GPHEW NA Survey Screenshots
Choose Safe Places for Early Care and Education Survey
0923-0047
ATSDR Choose Safe Places for Early Care and Education Survey
Council of State and Territorial Epidemiologists (CSTE) Feedback on Geospatial Capacity
N/A
CSTE Feedback - Use of Geospatial Methods During Responses
Customer Feedback on ATSDR's Coping with Stress Fact Sheet
n/a
Feedback Form and Follow-up Interview Questions
Customer Satisfaction Survey for CDC NSMBB Laboratory Accredited to ISO 17043 (Proficiency Testing)
n/a
Customer Satisfaction Survey for the CDC Newborn Screening Quality Assurance Program
Customer Satisfaction Survey for CDC Tobacco Products Laboratory Accredited to ISO/IEC 17025:2005
NA
Tobacco Laboratory - Customer Service Survey
Customer Satisfaction Survey: EATS/Food Defense training
Customer Satisfaction Survey: Vessel Sanitation Program (VSP) Training Seminar
0923-0047
VSP Training Seminar Customer Satisfaction Survery Att. A
NCEH/ATSDR Office of Science Regulatory Team Customer Satisfaction Survey
NA
NCEH/ATSDR Office of Science Regulatory Team Customer Ssatisfaction Survey
NCEH/ATSDR Wellness Needs Assessment
0923-0047
NCEH/ATSDR Wellness Needs Assessment - Screenshot
NCEH/ATSDR Wellness Needs Assessment
0923-0047
NCEH/ATSDR Wellness Needs Assessment - Federal Employees/Contractors/Fellows
National ALS Registry Website Satisfaction Survey
none, none
ALS Customer Satisfaction Survey
,
ALS Customer Satisfaction Survey - word
National Environmental Public Health Internship Program Survey
NA
National Environmental Public Health Internship Program Survey
PFAS Exposure Assessment Technical Tools Feedback
Post Meeting Survey of Non-Governmental Organization (NGO) Attendees at the NACP Grantee Meeting 2018
n/a
National Asthma Control Program Grantees Meeting Evaluation
Post Meeting Survey of State, Local, and Tribal Government Attendees at the NACP Grantee Meeting 2018
n/a
National Asthma Control Program Grantees Meeting Evaluation
Post-Meeti Survey of attendees at the APPLETREE Meeting 2017
17AIX, 17AIX
Attachment B - APPLETREE Post Meeting Survey_screenshot
,
Attachment C - APPLETREE Post Meeting Survey_text
Post-Meeting Survey of Attendees of 2018 Environmental PH Tracking Grantee Workshop
none
Post-workshop survey - screenshots
Sub-County Geocoding Standards Survey
0923-0047
Sub-County Geocoding Standards Survey
ToxFAQs Before and After Testing
NA
Tox FAQs Before and After Testing Survey - Online
Transportation and Health Tool Website User Satisfaction Assessment
none, none
User Satisfaction Survey
,
User Satisfaction Survey - screenshots
Usability Testing for the National
17wl
Attachment A - Respondent Screeners
ICR Summary of Burden
Total Approved
Previously Approved
Change Due to New Statute
Change Due to Agency Discretion
Change Due to Adjustment in Estimate
Change Due to Potential Violation of the PRA
Annual Number of Responses
24,900
8,400
0
0
16,500
0
Annual Time Burden (Hours)
21,225
7,275
0
0
13,950
0
Annual Cost Burden (Dollars)
0
0
0
0
0
0
Burden increases because of Program Change due to Agency Discretion:
No
Burden Increase Due to:
Burden decreases because of Program Change due to Agency Discretion:
No
Burden Reduction Due to:
Short Statement:
The increase in burden and respondents is based on the Agency's anticipated number of upcoming GenICs during the next 3 years.
Annual Cost to Federal Government:
$500,000
Does this IC contain surveys, censuses, or employ statistical methods?
Yes
Part B of Supporting Statement
Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002?
No
Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]?
No
Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]?
No
Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)?
No
Is this ICR related to the Pandemic Response?
Uncollected
Agency Contact:
Carol Marsh 404 639-4773 cww6@cdc.gov
Common Form ICR:
No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
(a) It is necessary for the proper performance of agency functions;
(b) It avoids unnecessary duplication;
(c) It reduces burden on small entities;
(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;
(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;
(f) It indicates the retention periods for recordkeeping requirements;
(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control number;
(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.
(i) It uses effective and efficient statistical survey methodology (if applicable); and
(j) It makes appropriate use of information technology.
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
Certification Date:
10/22/2015
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