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FSR 247 DOD Air Force, FSR 248 HHS CMS FCSO J9 MAC, FSR 249 CitizenFeedback
Customer Satisfaction Measure of Government Websites
OMB: 1505-0186
IC ID: 188008
OMB.report
TREAS/DO
OMB 1505-0186
ICR 200807-1505-001
IC 188008
( )
Documents and Forms
Document Name
Document Type
Form FSR 247
FSR 247 DOD Air Force, FSR 248 HHS CMS FCSO J9 MAC, FSR 249 CitizenFeedback
Form
FSR 247 DOD Air Force questionnaire
FSR 247 DOD Air Force.xls
Form
FSR 248 HHS CMS FCSO J9 MAC questionnaire
FSR 248 HHS CMS FCSO J9 MAC.xls
Form
FSR 249 Citizen Feedback Questionnaire
FSR 249 CitizenFeedback Questionaire.xls
Form
Justification for ICs to generic ICR 1505-0186.doc
Justification for ICs to generic ICR 1505-0186
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
FSR 247 DOD Air Force, FSR 248 HHS CMS FCSO J9 MAC, FSR 249 CitizenFeedback
Agency IC Tracking Number:
FSR 247, FSR 248, FSR 249
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
FSR 247
DOD Air Force questionnaire
FSR 247 DOD Air Force.xls
Yes
Yes
Fillable Fileable
Form
FSR 248
HHS CMS FCSO J9 MAC questionnaire
FSR 248 HHS CMS FCSO J9 MAC.xls
Yes
Yes
Fillable Fileable
Form
FSR 249
Citizen Feedback Questionnaire
FSR 249 CitizenFeedback Questionaire.xls
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
General Government
Subfunction:
Central Records & Statistical Mgt
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
1,300
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
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
1,300
0
1,300
0
0
0
Annual IC Time Burden (Hours)
54
0
54
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Justification for ICs to generic ICR 1505-0186
Justification for ICs to generic ICR 1505-0186.doc
02/20/2009
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.