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ETSB Customer Satisfaction Survey
[OADC] CDC Usability and Digital Content Testing
OMB: 0920-1050
IC ID: 255489
OMB.report
HHS/CDC
OMB 0920-1050
ICR 202505-0920-006
IC 255489
( )
Documents and Forms
Document Name
Document Type
Form 0920-1050
ETSB Customer Satisfaction Survey
Form and Instruction
0920-1050 Customer Satisfaction Survey
Att_1__ETSB_2022_Cust_Sat_ Survey_MSWord.docx
Form and Instruction
Att_2_ETSB_2022_Cust_Sat_Survey_Screenshots.docx
Screenshots Customer Satisfaction Survey
IC Document
Att_3__ETSB_2022_Cust_Sat_Survey_Invitation_Email.docx
Invitation
IC Document
SSA_New_Requirements_ETSB_2022_Cust_Sat_Survey_Submission.docx
Collection Summary Information
IC Document
0920-1050 Customer Service GenIC Clearance_ETSB2022.docx
GenIC Request Template
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
ETSB Customer Satisfaction Survey
Agency IC Tracking Number:
0920-1050-22IN
IC Status:
Unchanged
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 and Instruction
0920-1050
Customer Satisfaction Survey
Att_1__ETSB_2022_Cust_Sat_ Survey_MSWord.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Workforce Management
Subfunction:
Training and Employment
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
120
Number of Respondents for Small Entity:
0
Affected Public:
Federal Government
Percentage of Respondents Reporting Electronically:
100 %
Requested
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
120
0
0
0
0
120
Annual IC Time Burden (Hours)
10
0
0
0
0
10
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Screenshots Customer Satisfaction Survey
Att_2_ETSB_2022_Cust_Sat_Survey_Screenshots.docx
08/23/2022
Invitation
Att_3__ETSB_2022_Cust_Sat_Survey_Invitation_Email.docx
08/23/2022
Collection Summary Information
SSA_New_Requirements_ETSB_2022_Cust_Sat_Survey_Submission.docx
08/23/2022
GenIC Request Template
0920-1050 Customer Service GenIC Clearance_ETSB2022.docx
08/23/2022
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.