FSR 265 FTC Complaint Assistant, FSR 266 CFTC, FSR 267 HHS NIDCR, FSR 268 HHS NCI SEER, FSR 269 FDA

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⚠️ Notice: This information collection may be referencing outdated material.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 265 FSR 265 FTC Complaint Assistant, FSR 266 CFTC, FSR 267 HHS NIDCR, FSR 268 HHS NCI SEER, FSR 269 FDA Form
FSR 265 FTC Complaint Assistant questionnaire FSR 265 FTC ComplaintAssistant questionnaire.xls Form
FSR 266 CFTC questionnaire FSR 266 CFTC questionnaire.xls Form
FSR 267 HHS NIDCR Spanish questionnaire FSR 267 HHS NIDCR Spanish questionnaire.xls Form
FSR 268 HHS NCI SEER questionnaire FSR 268 HHS NCI SEER questionnaire.xls Form
FSR 269 HHS FDA questionnaire FSR 269 HHS FDA.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 265 FTC Complaint Assistant, FSR 266 CFTC, FSR 267 HHS NIDCR, FSR 268 HHS NCI SEER, FSR 269 FDA	Agency IC Tracking Number:	FSR 265, FSR 266, FSR 267, FSR 268, FSR 269

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	FSR 265	FTC Complaint Assistant questionnaire	FSR 265 FTC ComplaintAssistant questionnaire.xls	Yes	Yes	Fillable Fileable
Form	FSR 266	CFTC questionnaire	FSR 266 CFTC questionnaire.xls	Yes	Yes	Fillable Fileable
Form	FSR 267	HHS NIDCR Spanish questionnaire	FSR 267 HHS NIDCR Spanish questionnaire.xls	Yes	Yes	Fillable Fileable
Form	FSR 268	HHS NCI SEER questionnaire	FSR 268 HHS NCI SEER questionnaire.xls	Yes	Yes	Fillable Fileable
Form	FSR 269	HHS FDA questionnaire	FSR 269 HHS FDA.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: 25,000	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	25,000	25,000
Annual IC Time Burden (Hours)	1,042	1,042
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	07/29/2009

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