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Federal forms, ICRs, and supporting documents

Information Collection

Pilot of a Survey Instrument Designed to Assess Users' Perceptions of Website Changes (Sub-Study #2)

IC 188660 under ICR 201008-0925-003 · OMB 0925-0589.

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Pilot of a Survey Instrument Designed to Assess Users' Perceptions of Website Changes (Sub-Study #2)
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 1 Survey to Evaluate Changes to Website Design Attachment 1_ARP Survey-0925-0589-02.doc Yes Yes Fillable Fileable

Health Health Care Services

 

100 0
   
Individuals or Households
 
   100 %

  Requested 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 100 0 0 0 0 100
Annual IC Time Burden (Hours) 5 0 0 0 0 5
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Generic Sub-Study Summary GC Sub-Study Summary Form.doc 03/12/2009
Memo/Justification for 0925-0589-02 Memo_0925-0589-02_DCCPS ARP Survey_3-12-09.doc 03/12/2009
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.