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BioSense Platform User Satisfaction Survey
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
OMB: 0920-0974
IC ID: 227541
OMB.report
HHS/CDC
OMB 0920-0974
ICR 201606-0920-007
IC 227541
( )
Documents and Forms
Document Name
Document Type
BioSense Platform User Satisfaction Survey - Local Users - Final 07132017sds2.docx
Other-WORD
BioSense Platform User Satisfaction Survey - Local Users EpiInfo Screen ....docx
Other-SCREENSHOTS
BioSense Platform User Satisfaction Survey - Site Administrators - Final....docx
Other-WORD
BioSense Platform User Satisfaction Survey - Site Administrators EpiInfo....docx
Other-SCREENSHOTS
GenIC Request 0920-0974_BioSense Platform User Satisfaction Survey - Fin....docx
Request for Approval Justification
IC Document
Invitation Email for BioSense Platform User Satisfaction Survey - Local ....docx
Invitation Email for Local Users
IC Document
Invitation Email for BioSense Platform User Satisfaction Survey - Site A....docx
Invitation Email for Site Administrators
IC Document
New _Requirements_0920-0974_BioSense Platform User Satisfaction Survey -....docx
New Requirements Documents
IC Document
Reminder Email for BioSense Platform User Satisfaction Survey - Local Us....docx
Reminder Email for Local Users
IC Document
Reminder Email for BioSense Platform User Satisfaction Survey - Site Adm....docx
Reminder Email for Site Administrators
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
BioSense Platform User Satisfaction Survey
Agency IC Tracking Number:
0920-0974 (17AWW)
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
Other-WORD
BioSense Platform User Satisfaction Survey - Local Users - Final 07132017sds2.docx
Yes
Yes
Paper Only
Other-SCREENSHOTS
BioSense Platform User Satisfaction Survey - Local Users EpiInfo Screen ....docx
Yes
Yes
Fillable Fileable
Other-WORD
BioSense Platform User Satisfaction Survey - Site Administrators - Final....docx
Yes
Yes
Paper Only
Other-SCREENSHOTS
BioSense Platform User Satisfaction Survey - Site Administrators EpiInfo....docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Public Health Monitoring
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
47
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
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
47
0
47
0
0
0
Annual IC Time Burden (Hours)
20
0
20
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Request for Approval Justification
GenIC Request 0920-0974_BioSense Platform User Satisfaction Survey - Fin....docx
07/20/2017
Invitation Email for Local Users
Invitation Email for BioSense Platform User Satisfaction Survey - Local ....docx
07/20/2017
Invitation Email for Site Administrators
Invitation Email for BioSense Platform User Satisfaction Survey - Site A....docx
07/20/2017
New Requirements Documents
New _Requirements_0920-0974_BioSense Platform User Satisfaction Survey -....docx
07/20/2017
Reminder Email for Local Users
Reminder Email for BioSense Platform User Satisfaction Survey - Local Us....docx
07/20/2017
Reminder Email for Site Administrators
Reminder Email for BioSense Platform User Satisfaction Survey - Site Adm....docx
07/20/2017
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.