[NCIPC] Special Emphasis Panel (SEP) Peer Review Evaluation

[OADC] CDC Usability and Digital Content Testing

Documents and Forms

Document Name Document Type
Att 1_FY23 Peer Review SEP Survey Evaluation Form_v.111422.docx Other-WORD
FY23_1050 Request Template Service Delivery_1020 (002).docx Request for Approval under the “Generic Clearance for the Collection of Routine Customer Feedback” (OMB Control Number: 0920-105 IC Document
FY23 Peer Review SEP Survey_PIA.pdf PIA IC Document

Information Collection (IC) Details

IC Title:	[NCIPC] Special Emphasis Panel (SEP) Peer Review Evaluation	Agency IC Tracking Number:	0920-1050-23AZ

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
Other-WORD			Att 1_FY23 Peer Review SEP Survey Evaluation Form_v.111422.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 350	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Previously Approved
Annual Number of Responses for this IC	350	350
Annual IC Time Burden (Hours)	88	88
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Request for Approval under the “Generic Clearance for the Collection of Routine Customer Feedback” (OMB Control Number: 0920-1050)	FY23_1050 Request Template Service Delivery_1020 (002).docx	11/14/2022
PIA	FY23 Peer Review SEP Survey_PIA.pdf	11/14/2022

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.