[CPR] Post Visit Survey for Facility Evaluation of US National Authority for Containment of Poliovirus (NAC) Performance and Improvement

[OADC] CDC Usability and Digital Content Testing

Documents and Forms

Document Name Document Type
[CPR] Post Visit Survey for Facility Evaluation of US National Authority for Containment of Poliovirus (NAC) Performance and Improvement Form and Instruction
Post Site Visit Survey Att1-NAC Post-site Survey.docx Form and Instruction
0920-1050-Request-GenIC NAC Post-site Survey.docx GenIC Request Template IC Document

Information Collection (IC) Details

IC Title:	[CPR] Post Visit Survey for Facility Evaluation of US National Authority for Containment of Poliovirus (NAC) Performance and Improvement	Agency IC Tracking Number:	0920-1050-24FV

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	n/a	Post Site Visit Survey	Att1-NAC Post-site Survey.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 40	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Previously Approved
Annual Number of Responses for this IC	40	40
Annual IC Time Burden (Hours)	7	7
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
GenIC Request Template	0920-1050-Request-GenIC NAC Post-site Survey.docx	05/23/2024

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