[OS NCCDPHP] Award Management Platform Customer Satisfaction Surveys-Division of Oral Health

[OADC] CDC Usability and Digital Content Testing

Documents and Forms

Document Name Document Type
Form 0920-1050 [OS NCCDPHP] Award Management Platform Customer Satisfaction Surveys-Division of Oral Health Form and Instruction
0920-1050 DOH TA Satisfaction Survey Attachment 5- DOH AMP TA Satifaction Survey_Updated Flow_AMP revisions_10312020.docx Form and Instruction
Attachment 1- Customer Service GenIC Clearance Template (Final 5.3) AMP CSS.docx GenIC Request Template 0920-1050 IC Document

Information Collection (IC) Details

IC Title:	[OS NCCDPHP] Award Management Platform Customer Satisfaction Surveys-Division of Oral Health	Agency IC Tracking Number:	0920-1050 -23CJ

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	DOH TA Satisfaction Survey	Attachment 5- DOH AMP TA Satifaction Survey_Updated Flow_AMP revisions_10312020.docx	NA	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 47	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	47	47
Annual IC Time Burden (Hours)	2	2
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
GenIC Request Template 0920-1050	Attachment 1- Customer Service GenIC Clearance Template (Final 5.3) AMP CSS.docx	02/09/2023

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