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Systems Application Feedback
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
Appendix A_Survey Instrument
Surveillance Systems Feedback Survey
OMB: 0920-0953
OMB.report
HHS/CDC
OMB 0920-0953
ICR 201802-0920-007
IC 233405
Systems Application Feedback
( )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0920-0953 can be found here:
2024-06-05 - Extension without change of a currently approved collection
2021-08-11 - Extension without change of a currently approved collection
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Appendix A: Survey Instrument
File Type
application/vnd.openxmlformats-officedocument.wordprocessingml.document
Author
Mobley, Amy (CDC/NIOSH/DSHEFS)
File Modified
0000-00-00
File Created
2021-01-20
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