Information Collection

2009 National Eye Institute, NEI, Web Site User Satisfaction Survey

IC 191011 under ICR 200806-0925-002 · OMB 0925-0486.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 2009 National Eye Institute, NEI, Web Site User Satisfaction Survey	Form and Instruction
1 survey NEI_0301_01_ Web site user satisfaction survey instrument.doc	Form and Instruction
NEI 0301_01_User satisfaction survey OMB Generic Clearance Mini Supporting Statement.doc NEI 0301_01_User satisfaction survey OMB Generic Clearance Mini Supporting Statement	IC Document
NEI_0301_01_Generic Clearance Form.doc NEI_0301_01_Generic Clearance Form	IC Document

IC Title:

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1	survey	NEI_0301_01_ Web site user satisfaction survey instrument.doc		Yes	Yes	Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to New Statute	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA	Previously Approved
Annual Number of Responses for this IC	1,000	0	0	0	0	0
Annual IC Time Burden (Hours)	83	0	0	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
NEI 0301_01_User satisfaction survey OMB Generic Clearance Mini Supporting Statement	NEI 0301_01_User satisfaction survey OMB Generic Clearance Mini Supporting Statement.doc	10/02/2009
NEI_0301_01_Generic Clearance Form	NEI_0301_01_Generic Clearance Form.doc	10/02/2009

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