Customer Satisfaction Measure of Government Websites

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form FSR 237 HHS CMS Palmetto GBA J1 MAC questionnaire	Form	New	Available
Form FSR 236 Peace Corps questionnaire	Form	New	Available
Form FSR 235 NARA Records Management questionnaire	Form	New	Available
Form FSR 234 Administrative Office of the US Courts	Form	New	Available
Form FSR 233 Holocaust Museum Mail	Form	New	Available
Form FSR 232 Holocaust Museum Newsletter	Form	New	Available
Form FSR 231 SSA Retirement Estimator	Form	New	Available
Form FSR 230 DOD Defense Link	Form	New	Available
Form FSR 229 NIH Main	Form	New	Available
Form FSR 228 HHS NIDCR questionnaire	Form	New	Available
Form FSR 227 DOD America Supports You	Form	New	Available
Form FSA 226 USDA FSA	Form	New	Available
Form FSR 225 RISC RegInfo	Form	New	Available
Form FSR 224 HHS CMS WPS J5	Form	New	Available
Form FSR 223 DOI FWS	Form	New	Available
Form FSR 222 DOL DisabilityInfo	Form	New	Available
Form FSR 221 PBGC MyPBA	Form	New	Available
Form FSR 220 GSA Forms.gov	Form	New	Available
Form FSR 219 GSA FCIC Consumidor	Form	New	Available
Form FSR 218 TREAS IRS	Form	New	Available
Form FSR 217 USDA NRRS Recreation.gov	Form	New	Available
Form FSR 216 VA MyHealtheVet	Form	New	Available
Form FSR 214 CMS CIGNA DME MAC	Form	New	Available
Form FSR 214 DOC Census	Form	New	Available
Form FSR 213 EPA FSR 213	Form	New	Available
Form FSR 212 TREAS IRS	Form	New	Available
Form FSR 211 DOD Tricare MHS	Form	New	Available
Form FSR 210 SAMHSA NCAID and Mental Health	Form	New	Available
Justification for Non-Material Change 1505-0186.doc	Justification for No Material/Nonsubstantive Change	Uploaded 2007-07-05	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
186862	FSR 237 HHS CMS Palmetto GBA J1 MAC	Form	New	HHS CMS Palmetto GBA J1 MAC questionnaire
186325	FSR 236 Peace Corps	Form	New	Peace Corps questionnaire
186305	FSR 235 NARA Records Management	Form	New	NARA Records Management questionnaire
186044	FSR 234 Administrative Office of the Courts JNet	Form	New	Administrative Office of the US Courts
185765	FSR 231 SSA Retirement Estimator, FSR 232 Holocaust Memorial Museum - Newsletter, FSR 233 Holocaust Memorial Museum - Main	Form	New	Holocaust Museum Mail
185765	FSR 231 SSA Retirement Estimator, FSR 232 Holocaust Memorial Museum - Newsletter, FSR 233 Holocaust Memorial Museum - Main	Form	New	Holocaust Museum Newsletter
185765	FSR 231 SSA Retirement Estimator, FSR 232 Holocaust Memorial Museum - Newsletter, FSR 233 Holocaust Memorial Museum - Main	Form	New	SSA Retirement Estimator
185646	FSR 229 HHS NIH Main, FSR 230 DOD Defense Link	Form	New	DOD Defense Link
185646	FSR 229 HHS NIH Main, FSR 230 DOD Defense Link	Form	New	NIH Main
185444	FSR 228 HHS NIDCR	Form	New	HHS NIDCR questionnaire
184906	FSR 227 DOD America Supports You	Form	New	DOD America Supports You
184066	FSR 226 USDA FSA	Form	New	USDA FSA
183719	FSR 225 RISC RegInfo.gov	Form	New	RISC RegInfo
183598	FSR 224 HHS CMS WPS J5	Form	New	HHS CMS WPS J5
183353	FSR 223 DOI FWS	Form	New	DOI FWS
182821	FSR 219 GSA FCIC Consumidor, FSR 220 GSA Forms.gov, FSR 221 PBGC MyPBA, FSR 222 DOL DisabilityInfo	Form	New	DOL DisabilityInfo
182821	FSR 219 GSA FCIC Consumidor, FSR 220 GSA Forms.gov, FSR 221 PBGC MyPBA, FSR 222 DOL DisabilityInfo	Form	New	PBGC MyPBA
182821	FSR 219 GSA FCIC Consumidor, FSR 220 GSA Forms.gov, FSR 221 PBGC MyPBA, FSR 222 DOL DisabilityInfo	Form	New	GSA Forms.gov
182821	FSR 219 GSA FCIC Consumidor, FSR 220 GSA Forms.gov, FSR 221 PBGC MyPBA, FSR 222 DOL DisabilityInfo	Form	New	GSA FCIC Consumidor
182294	FSR 216 VA MyHealtheVet, FSR 217 USDA NRRS Recreation.gov, FSR 218 TREAS IRS	Form	New	TREAS IRS
182294	FSR 216 VA MyHealtheVet, FSR 217 USDA NRRS Recreation.gov, FSR 218 TREAS IRS	Form	New	USDA NRRS Recreation.gov
182294	FSR 216 VA MyHealtheVet, FSR 217 USDA NRRS Recreation.gov, FSR 218 TREAS IRS	Form	New	VA MyHealtheVet
182264	FSR 215 HHS CMS CIGNA DME MAC	Form	New	CMS CIGNA DME MAC
181954	FSR 214 DOC Census	Form	New	DOC Census
181851	FSR 213 EPA	Form	New	FSR 213
181756	FSR 212 TREAS IRS	Form	New	TREAS IRS
181473	FSR 211 DOD Tricare MHS	Form	New	DOD Tricare MHS
181348	FSR 210 SAMHSA NCAID and Mental Health	Form	New	SAMHSA NCAID and Mental Health

ICR Details

OMB Control No: 1505-0186	ICR Reference No: 200707-1505-002
Status: Historical Active	Previous ICR Reference No: 200608-1505-003
Agency/Subagency: TREAS/DO	Agency Tracking No:
Title: Customer Satisfaction Measure of Government Websites
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 07/13/2007
Retrieve Notice of Action (NOA)	Date Received in OIRA: 07/05/2007
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2008	10/31/2008	10/31/2008
Responses	1,025,000	0	1,025,000
Time Burden (Hours)	42,707	0	42,707
Cost Burden (Dollars)	0	0	0

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Abstract: The objectives of surveying citizen users of federal agency websites are to: (1) provide information for improving the quality of and satisfaction with agency websites: (2) ensure continuous assessment and improvement capabilities; (3) benchmark results against other agencies and private companies; (4) determine how different types of changes to the websites will impact future citizen behaviors; and (5) make the agencies part of a quarterly E-Government customer satisfaction benchmark and annual index for all measured Federal Government activities.

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Authorizing Statute(s): None

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 20

table that charts list of burden

IC Title	Form No.	Form Name
FSR 210 SAMHSA NCAID and Mental Health	FSR 210	SAMHSA NCAID and Mental Health
FSR 211 DOD Tricare MHS	FSR 211	DOD Tricare MHS
FSR 212 TREAS IRS	FSR 212	TREAS IRS
FSR 213 EPA	FSR 213 EPA	FSR 213
FSR 214 DOC Census	FSR 214	DOC Census
FSR 215 HHS CMS CIGNA DME MAC	FSR 214	CMS CIGNA DME MAC
FSR 216 VA MyHealtheVet, FSR 217 USDA NRRS Recreation.gov, FSR 218 TREAS IRS	FSR 218, FSR 217, FSR 216	VA MyHealtheVet ,   USDA NRRS Recreation.gov ,   TREAS IRS
FSR 219 GSA FCIC Consumidor, FSR 220 GSA Forms.gov, FSR 221 PBGC MyPBA, FSR 222 DOL DisabilityInfo	FSR 219, FSR 220, FSR 221, FSR 222	GSA FCIC Consumidor ,   GSA Forms.gov ,   PBGC MyPBA ,   DOL DisabilityInfo
FSR 223 DOI FWS	FSR 223	DOI FWS
FSR 224 HHS CMS WPS J5	FSR 224	HHS CMS WPS J5
FSR 225 RISC RegInfo.gov	FSR 225	RISC RegInfo
FSR 226 USDA FSA	FSA 226	USDA FSA
FSR 227 DOD America Supports You	FSR 227	DOD America Supports You
FSR 228 HHS NIDCR	FSR 228	HHS NIDCR questionnaire
FSR 229 HHS NIH Main, FSR 230 DOD Defense Link	FSR 229, FSR 230	NIH Main ,   DOD Defense Link
FSR 231 SSA Retirement Estimator, FSR 232 Holocaust Memorial Museum - Newsletter, FSR 233 Holocaust Memorial Museum - Main	FSR 231, FSR 232, FSR 233	SSA Retirement Estimator ,   Holocaust Museum Newsletter ,   Holocaust Museum Mail
FSR 234 Administrative Office of the Courts JNet	FSR 234	Administrative Office of the US Courts
FSR 235 NARA Records Management	FSR 235	NARA Records Management questionnaire
FSR 236 Peace Corps	FSR 236	Peace Corps questionnaire
FSR 237 HHS CMS Palmetto GBA J1 MAC	FSR 237	HHS CMS Palmetto GBA J1 MAC questionnaire

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ICR Summary of Burden

table that charts list of burden

	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	1,025,000	1,025,000	0	0	0	0
Annual Time Burden (Hours)	42,707	42,707	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: submitting surveys under the generic clearance

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Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 07/05/2007

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