Information Collection Request

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

ICR 201606-0920-007 · OMB 0920-0974 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form 0920-0974 2019 Science Ambassador Training Customer Satisfaction Survey Form and Instruction New Available
Form 0920-0974 EIS and LLS Class of 2020 Applicant Customer Satisfaction Survey Form and Instruction New Repair queued
Form 0920-0974 CDC Introduction to Informatics: Life of a Specimen and Life of a Result eLearning Courses Learner Feedback Survey Form and Instruction New Available
CDC Public Health and Preparedness Webinar Feedback Survey Form New Available
2018 Science Ambassador Fellowship Exit Satisfaction Survey Form New Available
Form 0920-1173 Exposure to Arsenic and Uranium in Private Well Water in Connecticut New Mexico and New Hampshire Form New Available
2019 Science Ambassador Fellowship Summer Course Satisfaction Survey Form and Instruction New Available
Form 0920-0974 2019 ELI Fellowship End of Year Evaluation Survey Form and Instruction New Available
Form 0920-0974 Mycobacterium tuberculosis: Diagnostic Principles and Procedures Course Learner Feedback Survey Form and Instruction New Repair queued
Clinical Laboratory Interview Feedback on DLS Professional Development Service Offerings Form and Instruction New Repair queued
Public Health Laboratory Feedback on DLS Professional Development Service Offerings Form New Available
Diagnostic Parasitology Course Feedback Form New Available
Clinical laboratory focus group feedback on DLS professional development service offerings Form and Instruction New Repair queued
Customer Service Feedback Survey of 2019 EIS Conference Form New Available
Form 0920-0974 Public Health Laboratory Focus Group Feedback on DLS Professional Development Services Offerings Form and Instruction New Available
Form 0920-0974 Laboratory Methods for Detecting Rabies Virus Course Learner Feedback Survey Form and Instruction New Available
Form 0920-0974 Mycobacterium tuberculosis: Diagnostic Principles and Procedures Course Learner Feedback Survey Form and Instruction New Repair queued
Form 0920-0974 Laboratory Identification of Emerging Pathogenic Molds Course Learner Feedback Survey Form and Instruction New Available
Form 0920-0974 (18AVD) Good Laboratory Practices for Molecular Genetic Testing eLearning Course Learner Feedback Form and Instruction New Available
Form 0920-0974 Good Laboratory Practices for Molecular Genetic Testing Learner Feedback Survey Form and Instruction New Repair queued
Packaging and Shipping Division 6.2 Materials eLearning Course Learner Feedback Survey Form and Instruction New Available
Form 0920-0974 Microbiology-Oriented eLearning Courses Learner Feedback Survey Form and Instruction New Available
Anticoagulation Manager Mobile App User Feedback Form New Repair queued
Applicability and Use of The Community Guide Among National Association of County and City Health Officials (NACCHO) Members Form and Instruction New Repair queued
Evaluating the Applicability and Use of The Commmunity Guide among SAMHSA Grantees Form New Available
Form 0920-0974 Individualized Quality Control Plan Workbook Survey Form New Available
Feedback Survey of 2017 NSSP Annual Grantee Meeting Form New Available
Form 0920-17FC Implementing Public Health Genomics in Your State: Resources from CDC Office of Public Health Form and Instruction New Available
CSELS Extension 0920-0974 Service Delivery GenIC Request Template.docx Supplementary Document Uploaded 2016-06-09 Available
CSELS Revision 0920-0974 Service Delivery GenIC Request Supporting Statement - Part B.docx Supporting Statement B Uploaded 2016-06-09 Available
REV CSELS Revision 0920-0974 Service Delivery Generic Request Supporting Statement - Part A.docx Supporting Statement A Uploaded 2016-06-09 Available
IC Document Collections
IC IDCollectionTypeStatusForm
237491 2019 Science Ambassador Training Customer Satisfaction Survey Form and Instruction New
237191 EIS and LLS Class of 2020 Applicant Customer Satisfaction Survey Form and Instruction New
237143 CDC Introduction to Informatics: Life of a Specimen and Life of a Result eLearning Courses Learner Feedback Survey Form and Instruction New
236771 CDC Public Health and Preparedness Webinar Feedback Survey Form New
236620 2018 Science Ambassador Fellowship Exit Satisfaction Survey Form New
236443 Exposure to Arsenic and Uranium in Private Well Water in Connecticut New Mexico and New Hampshire Form New
236433 2019 Science Ambassador Fellowship Summer Course Satisfaction Survey Form and Instruction New
236424 2019 ELI Fellowship End of Year Evaluation Survey Form and Instruction New
236409 Mycobacterium tuberculosis: Diagnostic Principles and Procedures Course Learner Feedback Survey Form and Instruction New
236116 Clinical Laboratory Interview Feedback on DLS Professional Development Service Offerings Form and Instruction New
235927 Public Health Laboratory Feedback on DLS Professional Development Service Offerings Form New
235689 Diagnostic Parasitology Course Feedback Form New
235660 Clinical laboratory focus group feedback on DLS professional development service offerings Form and Instruction New
235507 Customer Service Feedback Survey of 2019 EIS Conference Form New
235481 Public Health Laboratory Focus Group Feedback on DLS Professional Development Services Offerings Form and Instruction New
235203 Laboratory Methods for Detecting Rabies Virus Course Learner Feedback Survey Form and Instruction New
233951 Good Laboratory Practices for Biochemical Genetic Testing Preanalytic Phase eLearning Course Learner Feedback Survey Other-Screenshots New
233071 Mycobacterium tuberculosis: Diagnostic Principles and Procedures Course Learner Feedback Survey Form and Instruction New
232805 Laboratory Identification of Emerging Pathogenic Molds Course Learner Feedback Survey Form and Instruction New
232633 Good Laboratory Practices for Molecular Genetic Testing eLearning Course Learner Feedback Form and Instruction New
232622 Public Health and Prepareness Webinars Learner Feedback Survey Instruction New
232362 Good Laboratory Practices for Molecular Genetic Testing Learner Feedback Survey Form and Instruction New
232357 Packaging and Shipping Division 6.2 Materials eLearning Course Learner Feedback Survey Form and Instruction New
232348 Microbiology-Oriented eLearning Courses Learner Feedback Survey Form and Instruction New
229982 Anticoagulation Manager Mobile App User Feedback Form New
227541 BioSense Platform User Satisfaction Survey Other-WORD New
227194 Individualized Quality Control Plan Workbook Survey Other-Online New
225548 Applicability and Use of The Community Guide Among National Association of County and City Health Officials (NACCHO) Members Form and Instruction New
225311 Evaluating the Applicability and Use of The Commmunity Guide among SAMHSA Grantees Form New
225310 Individualized Quality Control Plan Workbook Survey Form New
225110 Genomics and Population Health Action Collaborative (GPHAC) Interviews Other-WORD New
224854 Feedback Survey of 2017 NSSP Annual Grantee Meeting Form New
224566 Implementing Public Health Genomics in Your State: Resources from CDC Office of Public Health Form and Instruction New
ICR Details
0920-0974 201606-0920-007
Historical Active 201305-0920-009
HHS/CDC 19639
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
Revision of a currently approved collection   No
Regular
Approved without change 10/05/2016
Retrieve Notice of Action (NOA) 06/15/2016
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
10/31/2019 36 Months From Approved 10/31/2016
187,746 0 60,720
50,871 0 41,799
0 0 0

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.

EO: EO 12862 Name/Subject of EO: Setting Customer Service Standards
  
None

Not associated with rulemaking

  79 FR 24432 04/30/2014
81 FR 38184 06/13/2016
No

33
IC Title Form No. Form Name
Individualized Quality Control Plan Workbook Survey 0920-0974 03_Screen shots of IQCP Workbook Survey 01-19-2017
Mycobacterium tuberculosis: Diagnostic Principles and Procedures Course Learner Feedback Survey 0920-0974 Mtuberculosis Course Survey
2019 ELI Fellowship End of Year Evaluation Survey 0920-0974 2019 ELI Fellowship Survey
Anticoagulation Manager Mobile App User Feedback none Anticoagulation Manager Mobile App User Survey
Diagnostic Parasitology Course Feedback none Diagnostic Parasitology Learner Feedback Survey
Exposure to Arsenic and Uranium in Private Well Water in Connecticut New Mexico and New Hampshire 0920-1173, 0920-1173, 0920-1173 Screening Survey ,   Food and Bathing Log ,   Survey (Exposure to Arsenic an Uranium in Private Well Water in Connecticut, New Mexico, and New Hampshire
CDC Introduction to Informatics: Life of a Specimen and Life of a Result eLearning Courses Learner Feedback Survey 0920-0974 Learner Feedback Survey
EIS and LLS Class of 2020 Applicant Customer Satisfaction Survey 0920-0974 CDC Fellowship Applicant Customer Satisfaction Survey
Laboratory Methods for Detecting Rabies Virus Course Learner Feedback Survey 0920-0974 Rabies Course Feedback Survey
Public Health Laboratory Focus Group Feedback on DLS Professional Development Services Offerings 0920-0974, 0920-0974 Focus Group Guide ,   Pre-Focus Group Questionnaire
Feedback Survey of 2017 NSSP Annual Grantee Meeting none Survey of 2017 NSSP Grantee Meeting
Implementing Public Health Genomics in Your State: Resources from CDC Office of Public Health 0920-17FC Genomics Survey for Webinar 2016_11_18
Applicability and Use of The Community Guide Among National Association of County and City Health Officials (NACCHO) Members N/A Applicability and Use of The Community Guide Among NACCHO Members (screenshots)
BioSense Platform User Satisfaction Survey
Good Laboratory Practices for Biochemical Genetic Testing Preanalytic Phase eLearning Course Learner Feedback Survey
2018 Science Ambassador Fellowship Exit Satisfaction Survey none Science Ambassador Fellowship Exit Satisfaction Survey
Good Laboratory Practices for Molecular Genetic Testing Learner Feedback Survey 0920-0974 2018 Public Health and Preparedness Webinar Learner Feedback Survey
Evaluating the Applicability and Use of The Commmunity Guide among SAMHSA Grantees none SAMHSA Grantees Survey
Individualized Quality Control Plan Workbook Survey
Mycobacterium tuberculosis: Diagnostic Principles and Procedures Course Learner Feedback Survey 0920-0974 CDC 2019 Mycobacterium tuberculosis Diagnostic Principles and Procedures - Course Learner Feedback Survey
CDC Public Health and Preparedness Webinar Feedback Survey none Learner Feedback Survey
Customer Service Feedback Survey of 2019 EIS Conference none 2019 EIS Conference Survey
Genomics and Population Health Action Collaborative (GPHAC) Interviews
Packaging and Shipping Division 6.2 Materials eLearning Course Learner Feedback Survey n/a 2018 Packaging and Shipping Division 6.2 Materials eLearning Course Feedback Survey
Public Health and Prepareness Webinars Learner Feedback Survey 0920-0974 (!!*ASY) 2018 Public Health and Preparedness Webinar Learner Feedback Survey
Laboratory Identification of Emerging Pathogenic Molds Course Learner Feedback Survey 0920-0974 Laboratory Identification of Emerging Pathogenic Molds Course Learner Feedback Survey
2019 Science Ambassador Training Customer Satisfaction Survey 0920-0974 Customer Satisfaction Survey
Public Health Laboratory Feedback on DLS Professional Development Service Offerings none Pre-focus group questionnaire
Microbiology-Oriented eLearning Courses Learner Feedback Survey 0920-0974 Microbiology-Oriented eLearning Feedback
Good Laboratory Practices for Molecular Genetic Testing eLearning Course Learner Feedback 0920-0974 (18AVD) 2018 Good Laboratory Practices for Molecular Genetic Testing Elearning Course Learner Feedback Survey
Clinical Laboratory Interview Feedback on DLS Professional Development Service Offerings n/q, n/a Pre-interview Questionnaire ,   Interview Guide
2019 Science Ambassador Fellowship Summer Course Satisfaction Survey n/a 2019 Science Ambassador Fellowship Summer Course Satisfaction Survey
Clinical laboratory focus group feedback on DLS professional development service offerings none Pre-Focus Group Questionnaire

  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 187,746 60,720 0 127,026 0 0
Annual Time Burden (Hours) 50,871 41,799 0 9,072 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
Request is being submitted to keep existing Generic Clearance on-going, although CIO submitted revision request with verbiage for additional burden and responses, it is not clear based on burden table reflected in SSA, 30 day doc based on hours requested. CIO will need to await further instruction from OMB desk officer as to whether another revision request will need to be submitted at a later time. CIO comments: "Additional burden hours are being requested primarily to reflect the increase in the number of Center programs due to a reorganization in 2014, use of electronic survey methods, and interest in customer input to and satisfaction with websites and products developed for constituents. Specifically, increases have resulted in association with use of electronic surveys, which allow for broader reach at lower survey costs, thus increasing number of surveys possible for a fixed budget."

$393,149
Yes Part B of Supporting Statement
No
No
No
No
Uncollected
Catina Conner 404 639-4775

  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.
06/15/2016