[NCCDPHP] 2023 Annual Evaluators' Network Member Survey

[OADC] CDC Usability and Digital Content Testing

Documents and Forms

Document Name Document Type
[NCCDPHP] 2023 Annual Evaluators' Network Member Survey Form and Instruction
2023 Annual Evaluators' Network Member Survey 2023 Evaluator Network Survey 04192023.pdf Form and Instruction
0920-1050_Customer_Service_GenIC_Clearance_OSH_Evaluators Network_4.26.23.pdf GENIC Template with Project Description and Burden Estimate IC Document

Information Collection (IC) Details

IC Title:	[NCCDPHP] 2023 Annual Evaluators' Network Member Survey	Agency IC Tracking Number:	0920-1050-23EO

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	None	2023 Annual Evaluators' Network Member Survey	2023 Evaluator Network Survey 04192023.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 190	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Previously Approved
Annual Number of Responses for this IC	190	190
Annual IC Time Burden (Hours)	32	32
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
GENIC Template with Project Description and Burden Estimate	0920-1050_Customer_Service_GenIC_Clearance_OSH_Evaluators Network_4.26.23.pdf	05/02/2023

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