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:
0920-1071
ICR Reference No:
202101-0920-020
Status:
Historical Active
Previous ICR Reference No:
201711-0920-019
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:
05/10/2021
Retrieve Notice of Action (NOA)
Date Received in OIRA:
02/16/2021
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
05/31/2024
36 Months From Approved
05/31/2021
Responses
5,800
0
5,800
Time Burden (Hours)
3,850
0
3,850
Cost Burden (Dollars)
0
0
0
Abstract:
This is a generic ICR. The collection of this 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:
85 FR 66985
10/21/2020
30-day Notice:
Federal Register Citation:
Citation Date:
86 FR 9342
02/12/2021
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
18
IC Title
Form No.
Form Name
[NCZEID] Project Firstline Training Completion on CDCs TRAINTCEO Systems
0920-24BS, 0920-24BS, 0920-24BS
Att A - TCEO PFL Post Training Evaluation Survey Instrument
,
TCEO PFL 3-Week Follow-up Survey
,
Att C - TRAIN Post Training Evaluation Survey Instrument
DFWED Data System User Feedback Survey
0920-1071
DFWED Data System User Feedback Survey
HAI/AR Program Multi-Drug Resistant Organism (MDRO) Prevention and Response Needs Assessment Survey
0920-1070
ARP SHARP Guidance 2021 P1 Activity B1 MDRO Prevention Plan Needs Assessment
Understanding Food Safety in Correctional Settings
n/a, n/a, n/a
Topics for Interview and Listening Sessions - Correctional Partners
,
Topics for Interview and Listening Sessions - Correctional Food Workers, Inspectors, or Trainers
,
Topics for Interview and Listening Sessions - Public Health Law Attorneys
Year 6 (2021) Customer Satisfaction Survey for the CDC Antibiotic Resistance (AR) Isolate Bank
0920-1071
AR Isolate Bank Customer Satisfaction Survey
Year 7 (2022) Customer Satisfaction Survey for the CDC Antibiotic Resistance (AR) Isolate Bank
None
Year 7 (2022) Customer Satisfaction Survey for the CDC Antibiotic Resistance (AR) Isolate Bank
[2022] The Science Ambassador Fellowship Summer Course Satisfaction Survey [CSELS]
None
2022 CDC Science Ambassador Fellowship Summer Course Survey (screenshots, annotated)
[NCEZID] BEAM Dashboard User Feedback Survey
None
BEAM Dashboard Customer Satisfaction Survey
[NCEZID] DCIPHER External User Satisfaction Survey
0920-1071
DCIPHER External User Satisfaction Survey
[NCEZID] Evaluation of communication between CDC and Association of Refugee Health Coordinators (ARHC) partners during responses in 2021-2022
0920-1071, 0920-1071
Interview Consent and Questionnaire
,
Evaluation of Communication between Immigrant, Refugee Migrant Health Branch at CDC and ARHC partners during responses in 2020-2022
[NCEZID] HHS Protect User Satisfaction Survey
n/a
External User Satisfaction Survey for HHS Protect Users
[NCEZID] Improving Traveler Data Exchange Between Health Departments and CDC Division of Global Migration and Quarantine
[NCEZID] NHSN Facility End User Survey
0920-1071
Nhsn 360 Assessment Facility Survey
[NCEZID] Survey of Nursing Homes to Support a Pilot Test of a National Healthcare Safety Network (NHSN) Electronic Health Record (EHR) Implementation Guide (IG)
n/a
NH Survey
[NCEZID] Year 8 (2023) Customer Satisfaction Survey for the CDC Antibiotic Resistance (AR) Isolate Bank
n/a
Customer Satisfaction Survey for the CDC Antibiotic Resistance (AR) Isolate Bank
[NCZEID] DCIPHER External User Satisfaction Survey
0920-24CX, 0920-24CX, 0920-24CX
Eligibility Screener
,
Eligible Participant Screener
,
Focus Group Moderator Guide
[NCZEID] SBS Excel Tool for Thematic Analysis Feedback Survey
0920-24DC
Excel Tool User Survey for Website
[NCZEID]TB Care Finder
0920-1071-24AU
TB Care Finder info requested to TB control programs PRA 10.23
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?
No
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:
02/16/2021
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