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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:
0920-1050
ICR Reference No:
202204-0920-013
Status:
Historical Active
Previous ICR Reference No:
201902-0920-022
Agency/Subagency:
HHS/CDC
Agency Tracking No:
0920-1050
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:
06/28/2022
Retrieve Notice of Action (NOA)
Date Received in OIRA:
05/23/2022
Terms of Clearance:
OMB approves this collection for a period of three years. To request approval of information collections under this generic approval, the agency must do the following: 1) Unless an agency is using multiple modes of collection (e.g., paper forms and electronic submissions), provide a Generic Clearance Submission Template for each Instrument; 2) If the agency is using multiple modes of collection (e.g., paper forms and electronic submissions), the same Generic Clearance Submission Template may be used for both instruments; 3) each Generic Clearance Submission Template must be uploaded as a Supplementary document using a naming convention that allows the public to identify the associated instrument; 4) submit no more than five Generic Submission Templates with each request.
Inventory as of this Action
Requested
Previously Approved
Expiration Date
06/30/2025
36 Months From Approved
06/30/2022
Responses
216,000
0
216,000
Time Burden (Hours)
66,750
0
66,750
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. This Extension contains only minor edits.
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:
87 FR 8259
02/14/2022
30-day Notice:
Federal Register Citation:
Citation Date:
87 FR 29319
05/13/2022
Did the Agency receive public comments on this ICR?
Yes
Number of Information Collection (IC) in this ICR:
127
IC Title
Form No.
Form Name
Participant Assessment of Science Integrity Branch (SIB) Trainings (2022-2024)
0920-1050
Training Assessment Form
American Indian, Alaska Native, Native Hawaiian Career Expo Post-Event Survey
0920-1050
American Indian, Alaska Native, Native Hawaiian Career Expo Post-Event Survey
Pilot Evaluation for Cervical Cancer Clinical Decision Support Tools
0920-1050
Usability Testing Script for CCSM CDS Interface
2023 Epidemic Intelligence Service (EIS) Conference and Match Feedback Surveys
n/a, n/a
2023 EIS Conference Customer Service Feedback Survey
,
2023 EIS Match Customer Service Feedback Survey
2025 CDC Division of Workforce Development (DWD) Fellowship Webinar Customer Service Feedback Survey
0920-1050 (25CE)
2025 CDC Division of Workforce Development (DWD) Fellowship Webinar Customer Service Feedback Survey
American Indian, Alaska Native, Native Hawaiian Career Expo Post-Event Survey
0920-1050
American Indian, Alaska Native, Native Hawaiian Career Expo Post Event Survey
CDC Usability and Digital Content Testing
0920-1050
CDC USABILITY AND DIGITAL CONTENT TESTING Content Feedback-A/B Comparison-Design Feedback-Data Visualization Tests
CDC-INFO Web-based Satisfaction Survey for the Chatbot Tool & People Using Live Chat Service
0920-1050, 0920-1050, 0920-1050
2023 CDC-INFO Pilot Chatbot Customer Satisfaction Survey
,
2023 CDC-INFO Pilot Live Chat Customer Satisfaction Survey
,
CDC-INFO Pilot Live Chat Customer Satisfaction Survey - Page 2
Case Service Design: A Day in the Life Qualitative Study
Centers for Disease Control and Prevention (CDC) Vaccine Distribution and Administration Tracking (VDAT) Help Desk (HD) Customer Satisfaction (CSAT) Survey
0920-23AE
CDC VDAT HD Customer Satisfaction Survey
Clinical Laboratory Partners Forum Meeting Evaluation Survey 2022
n/a
CLPF Meeting Evaluation Survey
Clinical Laboratory Partners Forum Meeting Evaluation Survey 2024
0920-1050
2024 Clinical Laboratory Partners Forum Survey (24EN)
Clinical Practice Guideline Outreach and Communication Materials Feedback
0920-1050
Clinical Practice Guideline Outreach and Communication Materials Feedback
ETSB Customer Satisfaction Survey
0920-1050
Customer Satisfaction Survey
Electronic Federal Select Agent Program (eFSAP) Information System Survey
0920-1050
Customer Feedback Survey about the Electronic Federal Select Agent Program (eFSAP)
Electronic Import Permit Program (eIPP) Information System Survey
0920-1050-22HB
Att1-eIPPSurvey
Focus Groups to identify pain points and opportunities in collecting, managing, and using data to inform the design of Building Blocks
0920-1050
Focus Group to Improve the Surveillance Data Lifecycle
Identifying customers' pain points and opportunities to collect, manage, and use data to inform the design of shared services between CDC and state, territorial, and local ph authoriities
n/a
Question Pool for CDC Foundation
Improving Services of Vaccination Rate Tracking among People Experiencing Homelessness (PEH)
0920-1050
Semi-Structured Discussion Guides - Improving Services of Vaccination Rate Tracking
My Family Health Portrait Cancer mobile application
0920-1050
My Family Health Portrait:Cancer Mobile Application Evaluation Question
My Family Health Portrait Usability Study
0920-1050, 0920-1050, 0920-1050, 0920-1050, 0920-1050, 0920-1050
Pre-Study Meeting
,
Week 1 Task Questions
,
Weeks 2-3 Task Questions
,
Weeks 4-5 Task Questions
,
Post-Study Interview
,
Recruitment Screener
My Mobility Product Testing Activities
0920-1050
Participant Screener (English Groups)
PHDI Geotagging Beta Survey
0920-1050
Screener & Geotagging Beta Survey
Project ECHO Biosafety Community of Practice: Registration and Follow-up Surveys
0920-1050
2022 ECHO Registration and Post-Session Survey Questions
Regulated Entity Technology Survey
0920-1050
User Experience Survey
Strategic Scholars Program Participant Feedback Survey
0920-1050
Strategic Scholars Program End-of -Cohort Survery
Strengthening Public Health Systems and Services through National Partnerships to Improve and Protect the Nation's Health CoAg
0920-1050
DMI Evaluation Survey_2022
Survey for Soliciting Feedback on National Healthcare Safety Network Education and Training Assessment
0920-1050
Education and Training Needs Assessment – Survey Questions _2024
Translating Evidence to Practice Implementation Tools for Preventing Overdose
0920-1050, 0920-1050
Recruitment Letter
,
Tools for Overdose Prevention Survey
[CGH] ADDIE Model Analysis
0920-23GW
Interview Guide
[CGH] Shiriki Virtual Community Annual Planning Survey
0920-1050
Shiriki Protocol New Member_Webinar Feedback Form
[CLSR/DLS] Project ECHO Biosafety Community of Practice Demographic and Follow-up Surveys
0920-1050
2024 ECHO Survey - Demographic/Session/Follow-Up
[CPR] Annual Import Permit Program Survey (genIC)
0920-1050
Annual IPP Survey (External Users)
[CPR] NAC Statement of Responsibility (SOR) Survey
0920-24FX
SOR Engagement Survey
[CPR] Post Visit Survey for Facility Evaluation of US National Authority for Containment of Poliovirus (NAC) Performance and Improvement
n/a
Post Site Visit Survey
[CPR] eFSAP information System Survey
0920-1050-2ED
eFSAP Survey
[CPR]NAC Post-visit Survey
0920-25-0053
Post-site Survey
[CPR]ORR - Public Health Emergency Management (PHEM) Emerging Leadership Program (ELP) Training Feedback
0920-23HN
Att1- PHEM ELP Training Feedback
[CSELS, 2022] 2023 CDC Epidemic Intelligence Service Candidate Feedback Survey
None
2023 CDC Epidemic Intelligence Service Candidate Feedback Survey (screen shots)
[CSELS] 2023 CDC DWD Fellowship Webinar Customer Feedback Survey
0920-1050
2023 CDC DWD Fellowship Webinar Customer Service Feedback Survey Screenshots
[CSELS] 2023 CDC Science Ambassador Fellowship Exit Survey
0920-1050
2023 CDC Science Ambassador Fellowship Exit Survey
[CSELS] CLSR/DLS CLPF Meeting Evaluation Survey 2023
0920-23HI
02_CLPF Meeting Evaluation Survey_2023.09.25 in Qualtrics
[CSELS] CLSRDLS CDC OneLab Summit Evaluation
0920-1050
2023 OneLab Summit Feedback
[CSELS] ELI Fellowship End of Year Survey
n/a, n/a
ELI Fellow End of Year Survey
,
ELI Mentor End of Year Survey
[CSELS] Epi Info User Survey
0920-1050-23GH
Att 1_Epi Info User Survey_Final
[CSELS] GenIC, "NBS Page Builder Demo User Feedback Survey
0920-1050-24DG
0920-1050 NBS User Feedback Survey_Att A
[CSELS] Project ECHO Biosafety Community of Practice: Registration and Follow-up Surveys (2022-2023)
None
1) Registration Survey; 2) Post-Session Survey Questions; 3) CDC Biosafety ECHO Follow-up Surveys
[CSELS] Science Ambassador Fellowship (SAF) Summer Course Satisfaction Survey (2023)
None
CDC Science Ambassador Fellowship Summer Course Satisfaction Survey
[CSELS] Science Ambassador Regional Training Workshop
0920-23CE
Att 1_0920-1050_2023_Sci_Amb_Rgnl_Training_Wkshp_Cust_Sat_Survey_subm
[CSELS] [PHIC] PH LEADS Post-training Evaluation (2023)
0920-23HO
Att1_PH_LEADS_2023_0920-1050surveyword
[CSELS_DSL] APHL-CDC Career Pathways in Public Health Laboratory Science Program Surveys
0920-1050
APHL-CDC Fellowship/Internship/Genomic Data Internship Survey
[CSLS] Strategic Scholars Program Participant Feedback Survey
0920-23GD
Attachment A - SSP Instrument Word Version
[CSTLTS] 2023 Public Health Improvement Training Attendee Reaction Surveys - Private Sector Attendees
None, None, None, None
Skill-Building Workshop Survey
,
Special Session Survey
,
Post-Event Survey for In-Person Attendees
,
Post-Event Survey for Virtual Attendees
[CSTLTS] 2023 Public Health Improvement Training Attendee Reaction Surveys - STLT Attendees
None, None, None, None
Skill-Building Workshop Survey
,
Special Session Survey
,
Post-Event Survey for In-Person Attendees
,
Post-Event Survey for Virtual Attendees
[CSTLTS] 2023 Public Health Improvement Training Reaction Surveys – Private Sector Attendees
0920-23EJ, 0920-23EJ, 0920-23EJ, 0920-23EJ
AttachA_Instrument1_Skill-Building Workshop Survey _PHIT2023
,
AttachB_Instrument2_Special Session Survey _PHIT2023
,
AttachC_Instrument3_Post-Event Survey for In-Person Attendees_PHIT2023
,
AttachD_Instrument4_Post-Event Survey for Virtual Attendees_PHIT2023
[GHC] Frontline Healthcare Workforce Strengthening Project
n/a
Post Session Feedback Form
[NCCDPHP] 2023 Annual Evaluators' Network Member Survey
None
2023 Annual Evaluators' Network Member Survey
[NCCDPHP] 2024 Evaluators' Network, Member Survey
n/a
2024 Evaluator Network Survey
[NCCDPHP] Cancer Screening Change Package Evaluation
0920-1050
Cancer Screening Change Package Evaluation Survey
[NCCDPHP] My Family Health Portrait Cancer mobile application
0920-1050
Family Health Profiles
[NCCDPHP] Prevention Research Centers (PRC) Program Technical Assistance Feedback Survey
0920-24AF
TA Feedback Survey Instrument_0920-1050 GenIC
[NCCDPHP] Prevention Research Centers (PRC) Program Technical Assistance Feedback Survey
n/a, n/a
Survey Instrument CDC Team
,
Survey Instrument CDC PRC Program Team
[NCCDPHP] US Cancer Statistics Data Visualizations Tool -Government Sector
0920-1050-23GI
USCS _GOV SECTOR
[NCCDPHP] USCS Data Visualizations Tool- Private Sector
0920-23GI
Customer Service GenIC Clearance_USCS-DataViz_Private-Sector_Attachment-1
[NCCDPHP] User Feedback – U.S. Cancer Statistics Public Use Databases – Private Sector
n/a, n/a
Focus Group Interview Guide
,
Personal Interview Guide
[NCCDPHP] User Feedback – U.S. Cancer Statistics Public Use Databases – State Health Department
n/a, n/a
Focus Group Interview Guide
,
Personal Interview Guide
[NCEZID] 2024 Infection Prevention and Control Webinar Training Series - Post Event (Series) Feedback
0920-1050
Series Feedback Form
[NCEZID] 2024 Infection Prevention and Control Webinar Training Series - Post Event (Session) Feedback
0920-1050
Session Feedback Form
[NCIPC] Comprehensive Suicide Prevention (CSP) Evaluation Learning Network Questionnaire
n/a
CSP Feedback Questionnaire
[NCIPC] Core State Injury Prevention Program (Core SIPP)
0920-1050, 0920-1050
Group TA Feedback
,
Individual TA Feedback
[NCIPC] Essentials for Parenting Toddlers Customer Service Feedback
0929-1050, 0929-1050, 0929-1050, 0929-1050, 0929-1050, 0929-1050
Recruitment Screener - English
,
Focus Group Guide - English
,
Consent Form - English
,
Recruitment Screener - Spanish
,
Focus Group Guide - Spanish
,
Consent Form - Spanish
[NCIPC] Opioid Rapid Response Patient Absorption Interviews
None
Interview Protocol for Opioid Rapid Response Patient Absorption Interviews
[NCIPC] Special Emphasis Panel (SEP) Peer Review Evaluation
[NCIPC] Three-Month Survey: Module WB4518, Talking about Naloxone
n/a
Talking about Naloxone survey
[NCIPC] VetoViolence Training Satisfaction Survey
0920-1050
VetoViolence Training Satisfaction Survey and Informed Consent
[NCIPC] Violence Prevention Technical Assistance Center Participant Feedback Forms
0920-1050, 0920-1050, 0920-1050, 0920-1050
Participant Feedback Form for Group Learning Events
,
Participant Feedback Form for Peer Learning Communities
,
Recipient Feedback Form for Individual TA
,
Recipient Follow Up Form for Individual TA
[NCIRD] DEIA Mentorship Program
0920-1050, 0920-1050
DEIA Mentorship Program Post Program
,
DEIA Mentorship Program Pre Program
[OACD] CDC-INFO IVR Survey - Individual
25-0009, 25-0009
2025 CDC-INFO IVR Survey ENGLISH
,
2025 CDC-INFO IVR Survey SPANISH
[OADC] 2022 CDC Usability Testing and Digital Content Testing
0920-1050
Usability Testing / Digital Content Testing Form (Moderated/Unmoderated)
[OADC] CDC DDT Recipient Satisfaction Survey
0920-1050
CDC 1815/1817 Recipient Satisfaction Survey
[OADC] CDC Digital Content Customer Satisfaction Survey
n/a
Verint Foresee Survey Questions
[OADC] CDC Flu Usability Testing
0920-1050
CDC Flu Usability Survey
[OADC] CDC Taxonomy Testing
[OADC] CDC-INFO Web-based Satisfaction Survey
0920-25-0011, 0920-25-0011
2025 CDC-INFO Email Survey ENGLISH
,
2025 CDC-INFO Email Survey SPANISH
[OADPS] Feedback on Innovation Hub Training (2023)
None, None, None, None, None
Orientation Assessment Instrument
,
In-Person Post-Session Assessment Instrument
,
In-Person Session Assessment Instrument
,
Post-Program Assessment Instrument
,
Post-Program Interview Discussion Guide
[OD] CDC-INFO IVR Customer Satisfaction Survey - Individual Respondent - Phone
0920-1050, 0920-1050
CDC-INFO Telephone Service Customer Satisfaction Survey - English
,
CDC-INFO Telephone Service Customer Satisfaction Survey - Spanish
[OD] CDC-INFO IVR Customer Satisfaction Survey - Private Sector - Phone
0920-1050, 0920-1050
CDC-INFO Telephone Service Customer Satisfaction Survey - English
,
CDC-INFO Telephone Service Customer Satisfaction Survey - Spanish
[OD] CDC-INFO Web-based Customer Satisfaction Survey - Individual Respondent - Email
0920-1050, 0920-1050
CDC-INFO Email Service - Customer Satisfaction Survey - English
,
CDC-INFO Email Service - Customer Satisfaction Survey - Spanish
[OD] CDC-INFO Web-based Customer Satisfaction Survey - Private Sector - Email
0920-1050, 0920-1050
CDC-INFO Email Service - Customer Satisfaction Survey - English
,
CDC-INFO Email Service - Customer Satisfaction Survey - Spanish
[OD] Focus Groups to Identify Customers' Pain Points and Opportunities in Collecting, Managing, and Using Data – to Inform the Design of Building Blocks
n/a
Universal Engagement Panel Screener
[OLSS] CDC Laboratory Courses for External Audiences Learner Feedback Survey
n/a, n/a
Fundamentals of Laboratory Safety for Short-Term Visitors
,
Introduction to Laboratory Safety for Non-Laboratory Staff
[OLSS] Laboratory Training Facility (LTF): Tours/Visits
n/a
LTF Tour/Visit Evaluation Survey
[OLSS] Project ECHO Biosafety Community of Practice: Demographic and Follow-up Surveys
0920-1050
CDC Biosafety ECHO Surveys_Compiled Demographic, Post Session, Follow-Up
[OLSS] Project ECHO Biosafety Community of Practice: Registration and Follow-up Surveys
0920-25BH
ECHO Survey
[OPHDST] : eCR Viewer Data Integration Building Blocks (DIBBs) Online Survey
0920-1050
eCR Viewer (DIBBs) Online Survey via Touchpoints
[OPHDST] Advancing Data for Public Health Action Partner Survey
0920-25AK
ADPHA Survey
[OPHDST] Discussions for Improving Case Data Entry Workflows
0920-1050
Discussions for Improving Case Data Entry Workflows
[OPHDST] Focus Groups to Provide Feedback on the FY 2024 Public Health Data Strategy Goals and Milestones
n/a
Focus Group Interview Outline
[OPHDST] HMIS and IIS Integration Survey to Improve Vaccination Rate Tracking among People Experiencing Homelessness (PEH)
0920-1050
Homeless Management Information System (HMIS) and Immunization Information System (IIS) Data Sharing/Data Partnership Survey
[OPHDST] Jurisdictional Staff Feedback to Improve Case Interview Training
0920-1050, 0920-1050, 0920-1050, 0920-1050
Survey - Jurisdictional public health staff members
,
Focus Group - Jurisdictional public health staff members
,
Survey - Subject matter experts in populations
,
Focus Group - Subject matter experts in populations
[OPHDST] MVPS CaseBridge
[OPHDST] National Electronic Disease Surveillance System Base System User Training Material Preference Survey
0920-1050
NBS User Training Material Preference Survey
[OPHDST] National Syndromic Surveillance (NSSP) Community of Practice (CoP) Survey
0920-1050
National Syndromic Surveillance Program (NSSP) Community of Practice (CoP) Survey
[OPHDST] ReportStream Usability Survey
0920-1050
ReportStream Usability Survey
[OPHDST] Respiratory Virus Response (RVR) Website Content Feedback Survey
0920-1050
RVR Data Dashboard cdc.gov feedback survey
[OPHDST] WAI Learning Community Survey
0920-25CS
WAI Learning Community Survey
[OPHDST] Workforce Acceleration Initiative (WAI) Mentorship Survey
n/a
WAI Mentorship Survey
[OPHDST] Workforce Acceleration Initiative (WAI) Public Health Agency Narrative Reports
0920-1050
Workforce Acceleration Initiative (WAI) Public Health Agency Narrative Reports (24AS)
[OPHDST] Workforce Acceleration Initiative (WAI) Retention Survey
0920-1050
WAI - RETENTION SURVEY
[OPHDST] Workforce Acceleration Initiative (WAI) Technical Assistance Follow-up Survey
n/a
WAI Technical Assistance Follow-up Survey
[OPHDST] eICR Data Project
0920-25BW
CDC eICR Data Project - Discussion Guide
[ORR] DSLR Tools and Resources Survey
0920-1050
DSLR Tools and Resources Survey
[ORR] CDC Threat Agnostic Program Engagement Form
0920-1050
CDC Threat Agnostic Program - Survey
[ORR] DSLR Training Survey
0920-1050
Participant Trainings Survey
[ORR] DSLR Training Survey
0920-1050
DSLR Participant Trainings Survey
[ORR] OnTrac Survey
0920-1050
On-TRAC Customer Feedback Survey
[OS NCCDPHP] Award Management Platform Customer Satisfaction Surveys-Division of Oral Health
0920-1050
DOH TA Satisfaction Survey
[OS] DMI Evaluation Survey for soliciting feedback on the Data Modernization Initiative Learning Community (DMI LC)
0920-1050
DMI Evaluation Survey
[OS] SimpleReport Touchpoint Surveys v2
0920-1050
SimpleReport Website_Web Application Survey
[OS] User Experience Survey to Understand What's Working and What Can be Improved with National Electronic Disease Surveillance System (NEDSS) Base System (NBS)
n/a
Survey and Invitation
[PHIC] 2024 CDC Division of Workforce Development (DWD) Fellowship Webinar Customer Service Feedback Survey
0920-1050
DWD Fellowship Webinar Customer Service Feedback Survey
[PHIC] 2024 Epidemic Intelligence Service (EIS) Conference and Match Customer Service Feedback Surveys
n/a, n/a
2024 EIS Conference Customer Service Feedback Survey
,
2024 EIS Match Customer Service Feedback Survey
[PHIC] 2024 Public Health Improvement Training (PHIT) Reaction Surveys - STLT Attendees
0920-24EW, 0920-24EW
In-Person Post-Event Survey
,
Virtual Post-Event Survey
[PHIC] 2024 Public Health Improvement Training (PHIT) Reaction Surveys – Private Sector Attendees
0920-1050, 0920-1050
Post-Event Survey for In-Person Attendees
,
Post-Event Survey for Virtual Attendees
[PHIC] 2024 Science Ambassador Regional Training Workshop Satisfaction Survey
0920-1050-24DX
2024 Science Ambassador Regional Training Workshop Satisfaction Survey
[PHIC] PHHS Block Grant and PHIG Listening Sessions (2024)
0920-1050
Guiding Questions for the PHHS Block Grant and PHIG Listening Session
[PHIC] Strategic Scholars Program Feedback Survey 2024
0920-24HF
Feedback Survey
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
216,000
216,000
0
0
0
0
Annual Time Burden (Hours)
66,750
66,750
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:
$60,000
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.
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?
No
Agency Contact:
Kevin Joyce 404 639-1944 kdj7@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:
05/23/2022