[NCIPC] VetoViolence Training Satisfaction Survey

[OADC] CDC Usability and Digital Content Testing

Documents and Forms

Document Name Document Type
Form 0920-1050 [NCIPC] VetoViolence Training Satisfaction Survey Form and Instruction
0920-1050 VetoViolence Training Satisfaction Survey and Informed C Att 1. VetoViolence Training Satisfaction Survey.docx Form and Instruction
Att2. VetoViolence_GenIC-PII-Privacy Act-Determination.pdf NCIPC Generic ICR PII and Privacy Act Determination IC Document
Request_OMB1050_GenIC_VetoViolence Training Satisfaction Survey.docx Request for Approval under the “Generic Clearance for the Collection of Routine Customer Feedback” (OMB Control Number: 0920-105 IC Document

Information Collection (IC) Details

IC Title:	[NCIPC] VetoViolence Training Satisfaction Survey	Agency IC Tracking Number:	0920-1050-23GQ

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	VetoViolence Training Satisfaction Survey and Informed Consent	Att 1. VetoViolence Training Satisfaction 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: 6,000	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	6,000	6,000
Annual IC Time Burden (Hours)	500	500
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
NCIPC Generic ICR PII and Privacy Act Determination	Att2. VetoViolence_GenIC-PII-Privacy Act-Determination.pdf	07/19/2023
Request for Approval under the “Generic Clearance for the Collection of Routine Customer Feedback” (OMB Control Number: 0920-1050)	Request_OMB1050_GenIC_VetoViolence Training Satisfaction Survey.docx	07/19/2023

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