View Information Collection Request (ICR) Package
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View Information Collection (IC) List
View Supporting Statement and Other Documents
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:
0920-1071
ICR Reference No:
201711-0920-019
Status:
Historical Active
Previous ICR Reference No:
201503-0920-011
Agency/Subagency:
HHS/CDC
Agency Tracking No:
0920-1071
Title:
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
Type of Information Collection:
Extension without change of a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved without change
Conclusion Date:
02/09/2018
Retrieve Notice of Action (NOA)
Date Received in OIRA:
01/08/2018
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
02/28/2021
36 Months From Approved
06/30/2018
Responses
5,800
0
5,800
Time Burden (Hours)
3,850
0
3,850
Cost Burden (Dollars)
0
0
0
Abstract:
This 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
US Code:
42 USC 241
Name of Law: The Public Health and Welfare
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:
82 FR 46994
10/10/2017
30-day Notice:
Federal Register Citation:
Citation Date:
82 FR 61001
12/26/2017
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
12
IC Title
Form No.
Form Name
Acceptability Survey of ARI Campaign for University of Utah Pediatric Clinic Champions
0920-1071, 0920-1071
Provider Acceptibility Survey
,
Champions Acceptability Survey
CDC Yellow Book User Survey
n/a
CDC Yellow Book User Survey
Customer Satisfaction Survey for 2018 UNGA AMR Side Event
0920-1071
UNGA 2018 - AMR Side Event Survey and Emails
Customer Satisfaction Survey for CDC AR Isolate Bank
0920-1071
Customer Satisfaction Survey AR Isolate Bank
Dialysis Event Module Training Needs Assessment
0920-1071
The Dialysis Event Module Training Needs Assessment
Immigrant, Refugee, and Migrant Health (IRMH) Website Redesign
0920-1071
Usability Testing Script
Partner Feedback for ORPB's Pilot Annual Summaries Report: Multistate Investigations of Salmonella, Shiga toxin-producing Escherichia coli, and Listeria monocytogenes outbreaks and possible outbreaks
none, none
Feedback Survey
,
Survey for Annual Report
SEDRIC User Acceptance and Satisfaction
none
SEDRIC User Acceptance and Satisfaction Survey
Survey to evaluate the Nursing Home Infection Preventionist Training Course
NA
Evaluation of the Nursing Home Infection Preventionist Training Course
Tuberculosis Education Materials for Classified Immigrants
0920-1071, 0920-1071, 0920-1071, 0920-1071
Att C_B1 Key Informant Interview Guide
,
Att D_B2 Key Information Interview Guide--MX
,
Att E_B1 Key Information Interview Guide -- US
,
Att F_B2 Key Informant Interview Guide -- US
Year 4 (2019) Customer Satisfaction Survey for the CDC Antibiotic Resistance (AR) Isolate Bank
n/a
Survey and Accompanying Emails
Year 5 (2020) Customer Satisfaction Survey for the CDC Antibiotic Resistance (AR) Isolate Bank
n/a
YR 5 (2020) Survey and Accompanying Emails
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
5,800
5,800
0
0
0
0
Annual Time Burden (Hours)
3,850
3,850
0
0
0
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:
Annual Cost to Federal Government:
$50,000
Does this IC contain surveys, censuses, or employ statistical methods?
No
Does this ICR request any personally identifiable information (see
OMB Circular No. A-130
for an explanation of this term)? Please consult with your agency's privacy program when making this determination.
Yes
Does this ICR include a form that requires a Privacy Act Statement (see
5 U.S.C. §552a(e)(3)
)? Please consult with your agency's privacy program when making this determination.
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:
Thelma Sims 4046394771
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:
01/08/2018
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