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VTrckS Contact Center Customer Satisfaction Survey 2015
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (NCIRD)
OMB: 0920-1026
IC ID: 218726
OMB.report
HHS/CDC
OMB 0920-1026
ICR 201407-0920-001
IC 218726
( )
Documents and Forms
Document Name
Document Type
VTrckS Contact Center Customer Satisfaction Survey 2015
Form
VTrckS Survey
Attachment A_VTrckS Contact Center Customer Satisfaction Survey_2015_Screen Shots.pdf
Form
0920-1026_GenIC_VTrckS Contact Center Customer Satisfaction Survey_2015.docx
Request for Approval
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
VTrckS Contact Center Customer Satisfaction Survey 2015
Agency IC Tracking Number:
16BY
IC Status:
New
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
none
VTrckS Survey
Attachment A_VTrckS Contact Center Customer Satisfaction Survey_2015_Screen Shots.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Immunization Management
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
62
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
100 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
62
0
62
0
0
0
Annual IC Time Burden (Hours)
62
0
62
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Request for Approval
0920-1026_GenIC_VTrckS Contact Center Customer Satisfaction Survey_2015.docx
10/25/2015
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.