[OADC] CDC DDT Recipient Satisfaction Survey

[OADC] CDC Usability and Digital Content Testing

Documents and Forms

Document Name Document Type
Form 0920-1050 [OADC] CDC DDT Recipient Satisfaction Survey Form and Instruction
0920-1050 CDC 1815/1817 Recipient Satisfaction Survey CDC DDT Recipient Satisfaction Survey_Attachment 2.docx Form and Instruction
GenIC Clearance Form_Recipient Satisfaction Survey .docx GenIC Request Template 0920-1050 IC Document
CDC DDT Recipient Satisfaction Survey_Attachment 3.docx Email Invitation IC Document

Information Collection (IC) Details

IC Title:	[OADC] CDC DDT Recipient Satisfaction Survey	Agency IC Tracking Number:	0920-1050-23EU

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	CDC 1815/1817 Recipient Satisfaction Survey	CDC DDT Recipient Satisfaction Survey_Attachment 2.docx	NA	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 120	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	120	120
Annual IC Time Burden (Hours)	10	10
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
GenIC Request Template 0920-1050	GenIC Clearance Form_Recipient Satisfaction Survey .docx	05/08/2023
Email Invitation	CDC DDT Recipient Satisfaction Survey_Attachment 3.docx	05/08/2023

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