OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

ICR 201305-0920-009 · OMB 0920-0974 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
The Morbidity and Mortality Weekly Report 2016 Customer Service Feedback Survey Pilot Form and Instruction New Repair queued
Customer Service Feedback Survey of 2016 EIS Conference Form and Instruction New Repair queued
Form 0920-0974 15BES Healthcare News Subscriber Survey Form and Instruction New Repair queued
2015 Science Ambassador Workshop Satisfaction Survey Form and Instruction New Repair queued
Decision and Implementation Support of The Community Guide Website Form and Instruction New Available
SupSta_B_EAPO_ GEN FAST TRACK.docx Supporting Statement B Uploaded 2013-05-20 Repair queued
Generic Clearance for Qualitative Feedback Template Approval Form.docx Supplementary Document Uploaded 2013-05-20 Repair queued
SupSta_A_EAPO_GEN FAST TRACK.docx Supporting Statement A Uploaded 2013-05-20 Available
IC Document Collections
IC IDCollectionTypeStatusForm
221323 2016 NSSP Annual Grantee Meeting Other-Screenshots New
220881 The Morbidity and Mortality Weekly Report 2016 Customer Service Feedback Survey Pilot Form and Instruction New
220519 Customer Service Feedback Survey of 2016 EIS Conference Form and Instruction New
218154 Healthcare News Subscriber Survey Form and Instruction New
217166 2015 Science Ambassador Workshop Satisfaction Survey Form and Instruction New
215677 Awareness and Perception Survey for BGT-NBS MMWR CE Ad at 2014 APHL Newborn Screening and Genetic Testing Symposium Other-screen shots New
215676 Awareness and Preception Survey for BGT-NBS MMWR CE Ad in Genetics in Medicine Other-survey New
207778 Decision and Implementation Support of The Community Guide Website Form and Instruction New
ICR Details
0920-0974 201305-0920-009
Historical Active 201305-0920-004
HHS/CDC 19639
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 06/12/2013
Retrieve Notice of Action (NOA) 05/23/2013
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
06/30/2016 36 Months From Approved
60,720 0 0
41,799 0 0
0 0 0
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 he Agency's programs.
EO: EO 12862 Name/Subject of EO: Setting Customer Service Standards
  
None
Not associated with rulemaking
  75 FR 80542 12/22/2010
78 FR 26033 05/03/2013
No
  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 60,720 0 0 60,720 0 0
Annual Time Burden (Hours) 41,799 0 0 41,799 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This is a new ICR.
$520,800
Yes Part B of Supporting Statement
No
No
No
No
Uncollected
Shari Steinberg 404 639-4942 [email protected]
  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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
05/23/2013