OMB control number

[NCEZID] Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

OMB 0920-1071 · HHS/CDC.

OMB 0920-1071

This is a generic ICR. The collection of this information is necessary to enable the Agency to garner customer and stakeholder feedback in an efficient, timely manner, in accordance with our commitment to improving service delivery. The information collected from our customers and stakeholders will help ensure that users have an effective, efficient, and satisfying experience with the Agency's programs; and allow feedback to contribute directly to the improvement of program management. The feedback will provide insights into customer or stakeholder perceptions, experiences and expectations; provide an early warning of issues with service; focus attention on areas where communication, training or changes in operations might improve delivery of products or services; and allow for ongoing collaborative and actionable communications between the Agency and its customers and stakeholders. This change request is to simply correct a burden admin error.

The latest form for [NCEZID] Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery expires 2027-06-30 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form 0920-1071 Request for Approval under the "Generic Clearance for the Collection of Routine Customer Feedback" (OMB Control Number: 0920-1071) Form and Instruction
Change Request Memo 0920-1071_burden correction.docx Justification for No Material/Nonsubstantive Change
Att. E- Human Subjects Determination.pdf Supplementary Document
Att. B- 60-Day Published Federal Register Notice.pdf Supplementary Document
Att. A - Section 301 of the Public Health Service Act (42 USC 241).pdf Supplementary Document
Supporting Statement B_0920-1071.docx Supporting Statement B
Supporting Statement A_0920-1071_edit 091724.docx Supporting Statement A
Request for Approval under the "Generic Clearance for the Collection of Routine Customer Feedback" (OMB Control Number: 0920-1071) Form and Instruction

All Historical Document Collections

202409-0920-009 Approved without change	No material or nonsubstantive change to a currently approved collection	2024-09-19
202404-0920-009 Approved without change	Revision of a currently approved collection	2024-05-08
202403-0920-013 Approved without change	No material or nonsubstantive change to a currently approved collection	2024-03-22
202402-0920-010 Approved without change	No material or nonsubstantive change to a currently approved collection	2024-02-28
202101-0920-020 Approved without change	Extension without change of a currently approved collection	2021-02-16
201711-0920-019 Approved without change	Extension without change of a currently approved collection	2018-01-08
201503-0920-011 Approved without change	New collection (Request for a new OMB Control Number)	2015-04-10

OMB Details

Request for Approval under the "Generic Clearance for the Collection of Routine Customer Feedback" (OMB Control Number: 0920-1071)

Federal Enterprise Architecture: Health - Public Health Monitoring

Form 0920-1071

Request for Approval under the “Generic Clearance for the Collection of Routine Customer Feedback” (OMB Control Number: 0920-1071)

Fillable Fileable

Form and instruction

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.