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:
201810-0923-002
Status:
Historical Active
Previous ICR Reference No:
201510-0923-001
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:
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:
01/30/2019
Retrieve Notice of Action (NOA)
Date Received in OIRA:
11/27/2018
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
01/31/2022
36 Months From Approved
02/28/2019
Responses
24,900
0
24,900
Time Burden (Hours)
21,225
0
21,225
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
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:
83 FR 8870
03/01/2018
30-day Notice:
Federal Register Citation:
Citation Date:
83 FR 57488
11/15/2018
Did the Agency receive public comments on this ICR?
Yes
Number of Information Collection (IC) in this ICR:
9
IC Title
Form No.
Form Name
CSPECE Resources Survey
none, none
CSPECE Resources Survey
,
CSPECE Resources Survey - text
Community Opinions on Communication Strategies and Tools about Cancer and Environmental Hazards
none
Recruitment
Distribution of Traceable Opioid Material§ Kits across U.S. Laboratories
0923-0047
Traceable Opioid Material* Kit Questions
Effective Communication for Water-related Emergencies and Disease Outbreaks
none
Recruitment Screener
Post-Meeting Questionnaire of Attendees at the 2020 Climate Ready States and Cities Initiative (CRSCI) Recipients Meeting
0923-20KT
2020 CRSCI Recipients Meeting Evaluation (text)
Survey on CDC NCEH Death Scene Investigation after Natural Disasters or Other Weather-Related Events Toolkit Training
n/a
Death Scene Investigation After Natural Disaster or Other Weather-Related Events
Survey on CDC NCEH Disaster-Related Death Certification Trainings
0923-21IP, 0923-21IP
Attachment 2_Death Certification Online Survey
,
Attachment 2a_Death Certification Word Survey
Usability Assessment of CRC SimPLER - Community Reception Center Simulation Program for Leveraging and Evaluating Resources
0923-0047
User Testing Script and Questionnaire
Wildfire Guide Assessment Interview
0923-0047
Wildfire Guide Assessement Interview
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
24,900
0
0
0
0
Annual Time Burden (Hours)
21,225
21,225
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:
$500,000
Does this IC contain surveys, censuses, or employ statistical methods?
Yes
Part B of Supporting Statement
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.
No
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 404 639-4771 tfs4@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:
11/27/2018
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