Evaluation of Customer Satisfaction with the Agency for Toxic Substances and Disease Registry Internet Home Page and Links

ICR 200311-0923-001

OMB: 0923-0028

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
ICR Details
0923-0028 200311-0923-001
Historical Active 199907-0923-001
HHS/TSDR
Evaluation of Customer Satisfaction with the Agency for Toxic Substances and Disease Registry Internet Home Page and Links
Reinstatement with change of a previously approved collection   No
Regular
Approved without change 02/03/2004
Retrieve Notice of Action (NOA) 11/07/2003
  Inventory as of this Action Requested Previously Approved
02/28/2007 02/28/2007
1,000 0 0
83 0 0
0 0 0

This data collection is designed to assist ATSDR with obtaining information from customers regarding their satisfaction with its Web site. This information will helf ATSDR ensure that customers find the information easy to access, clear, informative and useful. The survey is only available in electronic format via the ATSDR Web site. The survey is completely voluntary and does not collect personal identifiers.

None
None


No

1
IC Title Form No. Form Name
Evaluation of Customer Satisfaction with the Agency for Toxic Substances and Disease Registry Internet Home Page and Links

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 1,000 0 0 1,000 0 0
Annual Time Burden (Hours) 83 0 0 83 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
11/07/2003


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