FSR 263 Social Media, FSR 264 HHS AHRQ CAHPS

Customer Satisfaction Measure of Government Websites

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1090-0008 can be found here:

Documents and Forms

Document Name Document Type
Form FSR 263 FSR 263 Social Media, FSR 264 HHS AHRQ CAHPS Form
FSR 263 Social Media questionnaire FSR 263 Social Media Q variations.doc Form
FSR 264 HHS AHRQ CAHPS questionnaire FSR 264 HHS AHRQ CAHPS.xls Form
Justification for ICs to generic ICR 1090-0008.doc Justification for ICs to generic ICR 1090-0008 IC Document

Information Collection (IC) Details

IC Title:	FSR 263 Social Media, FSR 264 HHS AHRQ CAHPS	Agency IC Tracking Number:	FSR 263, FSR 264

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 263	Social Media questionnaire	FSR 263 Social Media Q variations.doc		Yes	Yes	Fillable Fileable
Form	FSR 264	HHS AHRQ CAHPS questionnaire	FSR 264 HHS AHRQ CAHPS.xls		Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 10,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	520,000	520,000
Annual IC Time Burden (Hours)	21,667	21,667
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Justification for ICs to generic ICR 1090-0008	Justification for ICs to generic ICR 1090-0008.doc	07/09/2009

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