[PHIC] 2025-2026 ETSB Customer Satisfaction Survey

[OS] CDC/ATSDR Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

Documents and Forms

Document Name Document Type
Form 0920-25-0129 [PHIC] 2025-2026 ETSB Customer Satisfaction Survey Form and Instruction
0920-25-0129 Att1 ETSB_CustSat25-26_Surv Att1 ETSB_CustSat25-26_Surv.docx Form and Instruction
Att2 ETSB_CustSat25-26_SurvScr.docx Screenshot IC Document
SSA_NewReq_ETSB_CustSat25-26.docx SSA IC Document
Att3 ETSB_CustSat25-26_InvEm.docx Invitation Email IC Document
0920-1050 ETSB Req 25-26.docx GenIC Request IC Document

Information Collection (IC) Details

IC Title:	[PHIC] 2025-2026 ETSB Customer Satisfaction Survey	Agency IC Tracking Number:	0920-25-0129

IC Status: New

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	0920-25-0129	Att1 ETSB_CustSat25-26_Surv	Att1 ETSB_CustSat25-26_Surv.docx		Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 120	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
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
Screenshot	Att2 ETSB_CustSat25-26_SurvScr.docx	08/13/2025
SSA	SSA_NewReq_ETSB_CustSat25-26.docx	08/13/2025
Invitation Email	Att3 ETSB_CustSat25-26_InvEm.docx	08/13/2025
GenIC Request	0920-1050 ETSB Req 25-26.docx	08/13/2025

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