Customer Satisfaction Measure of Government Websites

Forms and Documents

Document Name	Status
Form 483 CQs for OMB st 483 CQs for OMB st. 9-15-201;484 Healthfinder -V2 10/ 2011;485 NIAID 10/ 2011;486 PBGC.gov V3;487 SSA Extra Help V2 (English Eqiv)483 Form	New
Form 481 FBI V3 Questio 481 FBI V3 Questionnaire; 482 CQs for OMB started 8-22-2011 Form	New
Form 2011 478 FSIS Intr 478 FSIS Intranet Questionnaire_8-9-11, 479 CQs for OMB started 7-26-2011 Form	New
Form 471 HealthIT+qnair 471 HealthIT+qnaire+for+dataload+final;472CQs for OMB started 7-8-2011; 473 SSA iClaim v2 Form	New
Form 460 US Embassies E 460 US Embassies Entepr, 461 CMS Medicare Plan Finder, 462 CQs for OMB 6-14-2011, 463 DoD Enterprise Measure Q's Form	New
Form 457 CQs for OMB st 457 CQs for OMB started 5-17-2011,458 NICHD Survey, 459 US Courts Survey Form	New
Form 439 FMCSA Passenge 439 FMCSA Passenger Carrier, 440 FMCSA Protect your moveV2; 441FMCSA v2; 442FMCSA Share the Road; 443CQs for OMB started 4-28-2011 Form	New
Form 431 CQs for OMB 4- 431 CQs for OMB 4-8-2011 to 4-28-2011; 432 FEMA Readygov_Template_4.13.11, 433 Benefits.gov Form	New
Form 424 AHRQ Effective 424 AHRQ Effective Health Care, 425 FEMA Mobile Survey Final 2.28.11, 426 NIST Sat Survey v2 03-28-11 427 CQs 3-25-2011 to 4-8-2011 Form	New
Form 414 ePSS Questionn 414 ePSS, 415 FCIC 11Feb2011, 416 FCIC Pueblo 11Feb2011, 417 Howto.gov 3.7.2011 , 418 NLM Clinical Trials, 419 CMS Palmetto GBA J11 MAC, 420 Recreation.gov 2-4-2011 to 3-25-11, 421 DHHS-PSC , 422 DOT Form	New
Form 399 NIDCR English 398CQs12-14-2010 to 1-11-2011,399NIDCR English 2011 Q,400Q's_NGSNOAA_12-16-2010,401CDC_New_Q's_12_27_2010_FINAL3,404VOA English V2 Q's _Temp,405CQs1-11-2011,406GSA Auctions1-12-11,407GSA Xcess,408Os R Form	New
Form 392 USTTB Custom Q 392 USTTB Custom Q's 11.29.10 v2, 393 CQs for OMB 11-29-2010 to 12-14-2010, 394 DHS CIS Citizenship Resource Center 11-18-10 Form	Unchanged
Form 382 FCA Draft Ques 382 FCA Draft Qs, 383 FedsHireVets Qs, 384 PSC Q's, 385 Capitol Visitor Center Q's, 386 DOJ - BJS Q's, 387 CQs for OMB 11-3-2010 to 11-29-2010 Form	Unchanged
Form 2010 378 CQs for O 377 USPTO 378 CQs for OMB 10-17-2010 to 11-3-2010 Form	Unchanged
Form 369 GobiernoUSA Qu 369 GobiernoUSA Qs 370 MyMoney gov Qs 371NLM Exhibition Survey 372 PBGC My PAA v3 Qs 373 CQs for OMB 9-21-10-17-2010 Form	Unchanged
Form 362 Final Q's Medi 362-366 Final Q's Medicare, NIH NIDCD, Survey Final Re & S-RE August, 2010, CPSC.gov Q's, Q's for OMB Form	Unchanged
Form 343 Census Questio 343-347 Census Q's; CQ's 7-19-10 to 8-8-2010; NIH NIGMS; DOD Navy 7-22-2010; DOT Intranet 7-15-2010 Form	Unchanged
Form 339 CQs for OMB 7- CQs 7-6-2010 to 7-18-2010 DOT VERSION_VHA_Medical_Centers Hoosier Lottery (State of Indiana) Form	Unchanged
Form 333 6-8-2010 333 CQs for OMB 6-8-2010 to 7-6-2010 334 NRC Questionnaire with Transparency 6.8.10 Form	Unchanged
Form 322 322-324 CQs 5-19-2010 to 6-7-2010 SSA 5-19-10 VBA_5-17-10 Form	Unchanged
Form 313 CDC Mobile 313 CDC Mobile 314 CQs 5-3 to 5-19-10 315 DHS CBP 316 FCIC CQs Form	Unchanged
Form 312 CQs 4-14-2010 312 CQs for OMB 4-14-2010 to 5-2-2010 Form	Unchanged
Form 310 RRB Final 310 RRB and 311 Custom Qs Form	Unchanged
Form 304 DOT NHTSA 304 NHTSA 305 State Careers 306 Cust Ques Form	Unchanged
Form 301 DoD AF 301 DoD AF 302 Cust Ques 2-5-10 thru 3-1-10 Form and Instruction	Unchanged
Form 299 IIP Embassy 299 IIP Embassies, 300 Custom Quest Form and Instruction	Unchanged
Form 289 NIH 289 NIH Genome, 290 Cust. Ques for Clearance, 291 DHS CIS Eng, 292 DHS CIS Span, 293 DHS CIS Welcome Form	Unchanged
Form 286 HHS ONC 283 Master, 285 DHS CIS eVfy, 286 HHS ONC, 287 CQs Form	Unchanged
Form FSR 282 FSR 281 mobile Template Dept of State, 282 DHS Questionnaire New Model Form	Unchanged
Form FSR 279 FSR 279 DOI Main, FSR 280 CMS FCSO Form	Unchanged
Form FSR 274 FSR CMS 274, NCI 275, EPA 276, FEMA Main 277, eRule 278 Form	Unchanged
Form FSR 270 FSR 270 DOD Defense.gov, FSR 271 Treas IRS, FSR 272 DHS USCIS, FSR 273 FTC OnGuard Online Form and Instruction	Unchanged
Form FSR 265 FSR 265 FTC Complaint Assistant, FSR 266 CFTC, FSR 267 HHS NIDCR, FSR 268 HHS NCI SEER, FSR 269 FDA Form	Unchanged
Form FSR 263 FSR 263 Social Media, FSR 264 HHS AHRQ CAHPS Form	Unchanged
Form FSR 261 FSR 261 DHS FEMA Disaster Assistance, FSR 262 Regulations.gov Form	Unchanged
Form FSR 260 FSR 260 Obama Directives Form	Unchanged
Form FSR 253 FSR 253, FSR 254, FSR 255, FSR 256, FSR 257, FSR 258, FSR 259 Form	Unchanged
Form FSR 252 FSR 252 State BECA Fulbright Form	Unchanged
Form FSR 250 FSR 250 GSA Regulations.gov, FSR 251 DOC NOAA NGS Form	Unchanged
Form FSR 249 FSR 247 DOD Air Force, FSR 248 HHS CMS FCSO J9 MAC, FSR 249 CitizenFeedback Form	Unchanged
Form FSR 245 FSR 245 HHS CMS NGS, FSR 246 DOD Navy Form	Unchanged
Form FSR 244 FSR 244 DOD Marine Corps Form	Unchanged
Form FSR 238 FSR 224 DOD Marine Corps Form	Unchanged
JUSTIFICATION FOR NO MATERIAL CHANGE NON SUBSTANTIVE CHANGE.docx Justification for No Material/Nonsubstantive Change	2011-01-26
Support Statement B for OMB - ICR 1505-0191 Final.doc Supporting Statement B	2008-09-25
Supporting Statement for OMB - ICR 1505-0186 Final.doc Supporting Statement A	2008-09-25
CFI_ACSI Methodology in Mgmt of Govt Svcs Merz paper.pdf Supplementary Document	2008-09-25
Q2_2008 ACSI EGov presentation.pdf Supplementary Document	2008-09-25
ACSI Methodology Paper.pdf Supplementary Document	2008-09-25
Federal Register Notice June 18, 2008.pdf Supplementary Document	2008-09-25
President's Management Agenda.pdf Supplementary Document	2008-09-25
Executive Order 12862.htm Supplementary Document	2008-09-25
List of Standard ForeSee Results ACSI Questions.xls Supplementary Document	2008-09-25
List of Custom ForeSee Results ACSI Questions.xls Supplementary Document	2008-09-25

IC Document Collections

IC ID	Document Title	Status
199687	483 CQs for OMB st. 9-15-201;484 Healthfinder -V2 10/ 2011;485 NIAID 10/ 2011;486 PBGC.gov V3;487 SSA Extra Help V2 (English Eqiv)483 Form	New
199264	481 FBI V3 Questionnaire; 482 CQs for OMB started 8-22-2011 Form	New
198980	478 FSIS Intranet Questionnaire_8-9-11, 479 CQs for OMB started 7-26-2011 Form	New
198660	471 HealthIT+qnaire+for+dataload+final;472CQs for OMB started 7-8-2011; 473 SSA iClaim v2 Form	New
198458	460 US Embassies Entepr, 461 CMS Medicare Plan Finder, 462 CQs for OMB 6-14-2011, 463 DoD Enterprise Measure Q's Form	New
198145	457 CQs for OMB started 5-17-2011,458 NICHD Survey, 459 US Courts Survey Form	New
197746	439 FMCSA Passenger Carrier, 440 FMCSA Protect your moveV2; 441FMCSA v2; 442FMCSA Share the Road; 443CQs for OMB started 4-28-2011 Form	New
197533	431 CQs for OMB 4-8-2011 to 4-28-2011; 432 FEMA Readygov_Template_4.13.11, 433 Benefits.gov Form	New
197207	424 AHRQ Effective Health Care, 425 FEMA Mobile Survey Final 2.28.11, 426 NIST Sat Survey v2 03-28-11 427 CQs 3-25-2011 to 4-8-2011 Form	New
197067	414 ePSS, 415 FCIC 11Feb2011, 416 FCIC Pueblo 11Feb2011, 417 Howto.gov 3.7.2011 , 418 NLM Clinical Trials, 419 CMS Palmetto GBA J11 MAC, 420 Recreation.gov 2-4-2011 to 3-25-11, 421 DHHS-PSC , 422 DOT Form	New
196821	398CQs12-14-2010 to 1-11-2011,399NIDCR English 2011 Q,400Q's_NGSNOAA_12-16-2010,401CDC_New_Q's_12_27_2010_FINAL3,404VOA English V2 Q's _Temp,405CQs1-11-2011,406GSA Auctions1-12-11,407GSA Xcess,408Os R Form	New
195691	392 USTTB Custom Q's 11.29.10 v2, 393 CQs for OMB 11-29-2010 to 12-14-2010, 394 DHS CIS Citizenship Resource Center 11-18-10 Form	Unchanged
195452	382 FCA Draft Qs, 383 FedsHireVets Qs, 384 PSC Q's, 385 Capitol Visitor Center Q's, 386 DOJ - BJS Q's, 387 CQs for OMB 11-3-2010 to 11-29-2010 Form	Unchanged
195132	377 USPTO 378 CQs for OMB 10-17-2010 to 11-3-2010 Form	Unchanged
194887	369 GobiernoUSA Qs 370 MyMoney gov Qs 371NLM Exhibition Survey 372 PBGC My PAA v3 Qs 373 CQs for OMB 9-21-10-17-2010 Form	Unchanged
194622	362-366 Final Q's Medicare, NIH NIDCD, Survey Final Re & S-RE August, 2010, CPSC.gov Q's, Q's for OMB Form	Unchanged
194163	343-347 Census Q's; CQ's 7-19-10 to 8-8-2010; NIH NIGMS; DOD Navy 7-22-2010; DOT Intranet 7-15-2010 Form	Unchanged
193844	CQs 7-6-2010 to 7-18-2010 DOT VERSION_VHA_Medical_Centers Hoosier Lottery (State of Indiana) Form	Unchanged
193697	333 CQs for OMB 6-8-2010 to 7-6-2010 334 NRC Questionnaire with Transparency 6.8.10 Form	Unchanged
193216	322-324 CQs 5-19-2010 to 6-7-2010 SSA 5-19-10 VBA_5-17-10 Form	Unchanged
192941	313 CDC Mobile 314 CQs 5-3 to 5-19-10 315 DHS CBP 316 FCIC CQs Form	Unchanged
192669	312 CQs for OMB 4-14-2010 to 5-2-2010 Form	Unchanged
192545	310 RRB and 311 Custom Qs Form	Unchanged
192368	304 NHTSA 305 State Careers 306 Cust Ques Form	Unchanged
192172	301 DoD AF 302 Cust Ques 2-5-10 thru 3-1-10 Form and Instruction	Unchanged
191992	299 IIP Embassies, 300 Custom Quest Form and Instruction	Unchanged
191800	289 NIH Genome, 290 Cust. Ques for Clearance, 291 DHS CIS Eng, 292 DHS CIS Span, 293 DHS CIS Welcome Form	Unchanged
191492	283 Master, 285 DHS CIS eVfy, 286 HHS ONC, 287 CQs Form	Unchanged
191236	FSR 281 mobile Template Dept of State, 282 DHS Questionnaire New Model Form	Unchanged
191121	FSR 279 DOI Main, FSR 280 CMS FCSO Form	Unchanged
190935	FSR CMS 274, NCI 275, EPA 276, FEMA Main 277, eRule 278 Form	Unchanged
190471	FSR 270 DOD Defense.gov, FSR 271 Treas IRS, FSR 272 DHS USCIS, FSR 273 FTC OnGuard Online Form and Instruction	Unchanged
190115	FSR 265 FTC Complaint Assistant, FSR 266 CFTC, FSR 267 HHS NIDCR, FSR 268 HHS NCI SEER, FSR 269 FDA Form	Unchanged
189844	FSR 263 Social Media, FSR 264 HHS AHRQ CAHPS Form	Unchanged
189769	FSR 261 DHS FEMA Disaster Assistance, FSR 262 Regulations.gov Form	Unchanged
189546	FSR 260 Obama Directives Form	Unchanged
189241	FSR 253, FSR 254, FSR 255, FSR 256, FSR 257, FSR 258, FSR 259 Form	Unchanged
188674	FSR 252 State BECA Fulbright Form	Unchanged
188417	FSR 250 GSA Regulations.gov, FSR 251 DOC NOAA NGS Form	Unchanged
188008	FSR 247 DOD Air Force, FSR 248 HHS CMS FCSO J9 MAC, FSR 249 CitizenFeedback Form	Unchanged
187826	FSR 245 HHS CMS NGS, FSR 246 DOD Navy Form	Unchanged
187665	FSR 244 DOD Marine Corps Form	Unchanged
187410	FSR 224 DOD Marine Corps Form	Unchanged

ICR Details

OMB Control No: 1090-0008	ICR Reference No: 201101-1090-002
Status: Historical Active	Previous ICR Reference No: 200905-1090-001
Agency/Subagency: DOI/ASPMB	Agency Tracking No: 1505-0186
Title: Customer Satisfaction Measure of Government Websites
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 02/15/2011
	Date Received in OIRA: 01/27/2011
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2011	12/31/2011	12/31/2011
Responses	1,520,000	0	1,000,000
Time Burden (Hours)	62,917	0	41,667
Cost Burden (Dollars)	0	0	0

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Abstract: The objectives of surveying citizen users of federal agency websites are to: (1) provide information for improving the quality of and satisfaction with agency websites: (2) ensure continuous assessment and improvement capabilities; (3) benchmark results against other agencies and private companies; (4) determine how different types of changes to the websites will impact future citizen behaviors; and (5) make the agencies part of a quarterly E-Government customer satisfaction benchmark and annual index for all measured Federal Government activities.

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Authorizing Statute(s): None

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	73 FR 118	06/18/2008
30-day Notice:	Federal Register Citation:	Citation Date:
	73 FR 61193	10/15/2008
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 43

IC Title	Form No.	Form Name
424 AHRQ Effective Health Care, 425 FEMA Mobile Survey Final 2.28.11, 426 NIST Sat Survey v2 03-28-11 427 CQs 3-25-2011 to 4-8-2011	425 FEMA Mobile Survey Final 2.28.11, 426 NIST Sat Survey v2 03-28-11, 424 AHRQ Effective Health Care, 427 CQs for OMB 3-25-2011 to 4-8-2011	424 AHRQ Effective Health Care ,   425 FEMA Mobile Survey Final 2.28.11 ,   426 NIST Sat Survey v2 03-28-11 ,   427 CQs for OMB 3-25-2011 to 4-8-2011
478 FSIS Intranet Questionnaire_8-9-11, 479 CQs for OMB started 7-26-2011	2011 479 CQs for OMB started 7-26-2011, 2011 478 FSIS Intranet Questionnaire_8-9-11	2011 478 FSIS Intranet Questionnaire_8-9-11 ,   2011 479 CQs for OMB started 7-26-2011
414 ePSS, 415 FCIC 11Feb2011, 416 FCIC Pueblo 11Feb2011, 417 Howto.gov 3.7.2011 , 418 NLM Clinical Trials, 419 CMS Palmetto GBA J11 MAC, 420 Recreation.gov 2-4-2011 to 3-25-11, 421 DHHS-PSC , 422 DOT	417 Howto.gov Survey 3.7.2011 - current, 415 FCIC Consumer Action CQ revisions_11Feb2011, 416 FCIC Pueblo Survey revisions_11Feb2011, 418 NLM Clinical Trials Questionnaire _2-14-11, 419 CMS Palmetto GBA J11 MAC Questionnaire 3-10-11, 420 CQs for OMB 2-4-2011 to 3-25-11, 421 DHHS-PSC Offline Services Q's 02-25-11, 422 DOT FHWA Questionnaire 02-17-2011, 414 ePSS Questionnaire Wave 1 Revised	414 ePSS Questionnaire Wave 1 Revised ,   415 FCIC Consumer Action CQ revisions_11Feb2011 ,   416 FCIC Pueblo Survey revisions_11Feb2011 ,   417 Howto.gov Survey 3.7.2011 - current ,   418 NLM Clinical Trials Questionnaire _2-14-11 ,   419 CMS Palmetto GBA J11 MAC Questionnaire 3-10-11 ,   420 CQs for OMB 2-4-2011 to 3-25-11 ,   421 DHHS-PSC Offline Services Questionnaire 02-25-11 ,   422 DOT FHWA Questionnaire 02-17-2011
FSR 281 mobile Template Dept of State, 282 DHS Questionnaire New Model	FSR 283, FSR 281, FSR 282	DHS Questionnaire New Model ,   Current Master Element List ,   Mobile Template Dept of State
283 Master, 285 DHS CIS eVfy, 286 HHS ONC, 287 CQs	285 eVfy, 286 HHS ONC, 287 Custom, 283 Master	286 HHS ONC Questions ,   287 Custom Questions from 11-16-09 to 12-4-09 ,   285 DHS CIS eVerify Questionnaire ,   283 Master Questions List as of 11-17-09
322-324 CQs 5-19-2010 to 6-7-2010 SSA 5-19-10 VBA_5-17-10	323, 322 , 324	322 CQs for OMB 5-19-2010 to 6-7-2010 ,   323 SSA Policy Pages Final 5-19-10 ,   324 VBA_Survey FINAL_5-17-10_FSR
FSR 224 DOD Marine Corps	FSR 240, FSR 238, FSR 239, FSR 243, FSR 241, FSR 242	DOD Pentagon Channel questionnaire ,   OPM Job Seeker Completer Model questionnaire ,   OPM Job Seeker Abandoner questionnaire ,   OPM Job Seeker Post Completer questionnaire ,   State America.gov questionnaire ,   HHS SAMHSA Publications questionnaire
FSR 252 State BECA Fulbright	FSR 252	State BECA Fulbright questionnaire
382 FCA Draft Qs, 383 FedsHireVets Qs, 384 PSC Q's, 385 Capitol Visitor Center Q's, 386 DOJ - BJS Q's, 387 CQs for OMB 11-3-2010 to 11-29-2010	382 FCA Draft Questionnaire, 386 DOJ - BJS Questionnaire, 387 CQs for OMB 11-3-2010 to 11-29-2010, 383 FedsHireVets FINAL Questionnaire 110810, 385 Capitol Visitor CenterQuestionnaire, 384 PSC Questionnaire Draft customer approved	382 FCA Draft Questionnaire ,   383 FedsHireVets FINAL Questionnaire 110810 ,   384 PSC Questionnaire Draft customer approved ,   385 Capitol Visitor CenterQuestionnaire ,   386 DOJ - BJS Questionnaire ,   387 CQs for OMB 11-3-2010 to 11-29-2010
301 DoD AF 302 Cust Ques 2-5-10 thru 3-1-10	301 DoD AF, 302 CQs	301 DoD AF 1-28-10 ,   302 Custom Questions 2-5-10 to 3-1-10
FSR 263 Social Media, FSR 264 HHS AHRQ CAHPS	FSR 264, FSR 263	Social Media questionnaire ,   HHS AHRQ CAHPS questionnaire
FSR 244 DOD Marine Corps	FSR 244	DOD Marine Corps questionnaire
FSR 245 HHS CMS NGS, FSR 246 DOD Navy	FSR 246, FSR 245	HHS CMS NGS questionnaire ,   DOD Navy questionnaire
310 RRB and 311 Custom Qs	310 RRB Final, 311 Custom Qs	310 RRB Final ,   311 Custom Qs 3-29-10 to 4-13-10
299 IIP Embassies, 300 Custom Quest	299 IIP Embassy, 300 Mult CQs	299 State IIP Embassy ,   300 Multiple Custom Questions 1-16-10 to 2-5-10
362-366 Final Q's Medicare, NIH NIDCD, Survey Final Re & S-RE August, 2010, CPSC.gov Q's, Q's for OMB	362 Final Q's Medicare 09.07.2010, 363 NIH NIDCD, 365 CPSC Q's 8-24-2010, 364 Survey Final RE and S-RE August, 2010, 366 Q's for OMB 8-25-2010 to 9-21-2010	362 Final Q's Medicare 09.07.2010 ,   363 NIH NIDCD ,   364 Survey Final RE and S-RE August, 2010 ,   365 CPSC Q's 8-24-2010 ,   366 Q's for OMB 8-25-2010 to 9-21-2010
392 USTTB Custom Q's 11.29.10 v2, 393 CQs for OMB 11-29-2010 to 12-14-2010, 394 DHS CIS Citizenship Resource Center 11-18-10	392 USTTB Custom Q's 11.29.10 v2, 393 CQs for OMB 11-29-2010 to 12-14-2010, 394 DHS CIS Citizenship Resource Center 11-18-10FI	392 USTTB Custom Q's 11.29.10 v2 ,   393 CQs for OMB 11-29-2010 to 12-14-2010 ,   394 DHS CIS Citizenship Resource Center 11-18-10FINAL
439 FMCSA Passenger Carrier, 440 FMCSA Protect your moveV2; 441FMCSA v2; 442FMCSA Share the Road; 443CQs for OMB started 4-28-2011	442 FMCSA Share the Road, 443 CQs for OMB started 4-28-2011, 439 FMCSA Passenger Carrier Satisfaction Survey, 440 FMCSA Protect Your Move Satisfaction Survey V2, 441 FMCSA Satisfaction Survey v2	439 FMCSA Passenger Carrier Satisfaction Survey ,   440 FMCSA Protect Your Move Satisfaction Survey V2 ,   442 FMCSA Share the Road ,   443 CQs for OMB started 4-28-2011 ,   441 FMCSA Satisfaction Survey v2
312 CQs for OMB 4-14-2010 to 5-2-2010	312 CQs 4-14-2010 to 5-2-2010	312 CQs 4-14-2010 to 5-2-2010
304 NHTSA 305 State Careers 306 Cust Ques	304 DOT NHTSA, 305 State Careers, 306 Cust Ques	304 DOT NHTSA ,   305 State Careers ,   306 Cust Ques 3-2 to 3-28-10
FSR 253, FSR 254, FSR 255, FSR 256, FSR 257, FSR 258, FSR 259	FSR 254 , FSR 259, FSR 253, FSR 255, FSR 256, FSR 257, FSR 258	DHS FEMA questionnaire ,   VA eBenefits questionnaire ,   State BCA Travel.State.gov questionnaire ,   NIST Research.gov ,   HHS NLM OSA questionnaire ,   USDA CNPP questionnaire ,   HHS CMS questionnaire
FSR 261 DHS FEMA Disaster Assistance, FSR 262 Regulations.gov	FSR 262 , FSR 261	DHS FEMA Disaster Assistance questionnaire ,   Regulations.gov questionnaire
369 GobiernoUSA Qs 370 MyMoney gov Qs 371NLM Exhibition Survey 372 PBGC My PAA v3 Qs 373 CQs for OMB 9-21-10-17-2010	371 NLM Exhibition Survey Template_9_10, 370 MyMoney gov Questionnaire Template 9-17-10FINA, 373 CQs for OMB 9-21-2010 to 10-17-2010, 369 GobiernoUSA Questionnaire 9 28 10, 372 PBGC My PAA v3 Questionnaire 10-4-2010	369 GobiernoUSA Questionnaire 9 28 10 ,   370 MyMoney gov Questionnaire Template 9-17-10FINAL ,   371 NLM Exhibition Survey Template_9_10 ,   372 PBGC My PAA v3 Questionnaire 10-4-2010 ,   373 CQs for OMB 9-21-2010 to 10-17-2010
481 FBI V3 Questionnaire; 482 CQs for OMB started 8-22-2011	481 FBI V3 Questionnaire, 482 CQs for OMB started 8-22-2011	481 FBI V3 Questionnaire ,   482 CQs for OMB started 8-22-2011
431 CQs for OMB 4-8-2011 to 4-28-2011; 432 FEMA Readygov_Template_4.13.11, 433 Benefits.gov	431 CQs for OMB 4-8-2011 to 4-28-2011, , 432 FEMA Readygov_Template_4.13.11, 433 Benefits.gov	431 CQs for OMB 4-8-2011 to 4-28-2011 ,   432 FEMA Readygov_Template_4.13.11 ,   433 Benefits.gov
FSR 270 DOD Defense.gov, FSR 271 Treas IRS, FSR 272 DHS USCIS, FSR 273 FTC OnGuard Online	FSR 270, FSR 272, FSR 271, FSR 273	DOD Defense.gov questionnaire ,   Treas IRS questionnaire ,   DHS USCIS Welcome to USA questionnaire ,   FTC On Guard Online questionnaire
289 NIH Genome, 290 Cust. Ques for Clearance, 291 DHS CIS Eng, 292 DHS CIS Span, 293 DHS CIS Welcome	289 NIH, 292 DHS CIS Span, 293 DHS CIS Welcome, 290 Custom Questions, 291 DHS CIS	289 NIH Genome 1-6-2010 ,   290 Custom Questions for Clearance ,   291 DHS CIS English ,   292 DHS CIS Spanish 11-30-09 ,   293 DHS CIS Welcome to USA Custom Ques
313 CDC Mobile 314 CQs 5-3 to 5-19-10 315 DHS CBP 316 FCIC CQs	315 DHS CBP, 313 CDC Mobile, 314 CQs, 316 FDIC CQs	313 Mobile Survey ,   314 Custom Question 5-3 to 5-19-10 ,   315 DHS CBP Final ,   316 FDIC Custom Questions
CQs 7-6-2010 to 7-18-2010 DOT VERSION_VHA_Medical_Centers Hoosier Lottery (State of Indiana)	339 CQs for OMB 7-6-2010 to 7-18-2010, 341 Hoosier Lottery (State of Indiana) Questionnai, 340 DOT VERSION_VHA_Medical_Centers_Questionnaire_	339 CQs for OMB 7-6-2010 to 7-18-2010 ,   340 DOT VERSION_VHA_Medical_Centers_Questionnaire_Template ,   341 Hoosier Lottery (State of Indiana) Questionnaire Final 7.8.10
377 USPTO 378 CQs for OMB 10-17-2010 to 11-3-2010	2010 377 Qnaire_USPTO_October_CB_Revised, 2010 378 CQs for OMB 10-17-2010 to 11-3-2010	2010 378 CQs for OMB 10-17-2010 to 11-3-2010 ,   2010 377 Qnaire_USPTO_October_CB_Revised
457 CQs for OMB started 5-17-2011,458 NICHD Survey, 459 US Courts Survey	457 CQs for OMB started 5-17-2011, 458 NICHD Survey, 459 US Courts Survey	457 CQs for OMB started 5-17-2011 ,   458 NICHD Survey ,   459 US Courts Survey
471 HealthIT+qnaire+for+dataload+final;472CQs for OMB started 7-8-2011; 473 SSA iClaim v2	471 HealthIT+qnaire+for+dataload+final, 472 CQs for OMB started 7-8-2011, 473 SSA iClaim v2	471 HealthIT+qnaire+for+dataload+final ,   472 CQs for OMB started 7-8-2011 ,   473 SSA iClaim v2
483 CQs for OMB st. 9-15-201;484 Healthfinder -V2 10/ 2011;485 NIAID 10/ 2011;486 PBGC.gov V3;487 SSA Extra Help V2 (English Eqiv)483	484 Healthfinder -V2 - October 2011, 486 PBGC.gov V3, 485 NIAID October 2011, 487 SSA Extra Help V2 (English Eqiv), 483 CQs for OMB started 9-15-2011	483 CQs for OMB started 9-15-2011 ,   484 Healthfinder -V2 - October 2011 ,   485 NIAID October 2011 ,   486 PBGC.gov V3 ,   487 SSA Extra Help V2 (English Eqiv)
398CQs12-14-2010 to 1-11-2011,399NIDCR English 2011 Q,400Q's_NGSNOAA_12-16-2010,401CDC_New_Q's_12_27_2010_FINAL3,404VOA English V2 Q's _Temp,405CQs1-11-2011,406GSA Auctions1-12-11,407GSA Xcess,408Os R	408 Questionnaire RegInfo v2, 406 GSA Auctions FINAL 1-12-11, 401 CDC_New_Questionnaire_12_27_2010_FINAL3, 404 VOA English V2 Qs, 405 CQs for OMB 1-11-2011, 398 VA CQs for OMB 12-14-2010 to 1-11-2011, 399 NIDCR English 2011 Q's, 400 Q's_NGSNOAA_12-16-2010, 407 GSA Xcess FINAL 1-7-11	399 NIDCR English 2011 Q's ,   400 Q's_NGSNOAA_12-16-2010 ,   401 CDC_New_Questionnaire_12_27_2010_FINAL3 ,   404 VOA English V2 Qs ,   398 VA CQs for OMB 12-14-2010 to 1-11-2011 ,   405 CQs for OMB 1-11-2011 ,   406 GSA Auctions FINAL 1-12-11 ,   407 GSA Xcess FINAL 1-7-11 ,   408 Questionnaire RegInfo v2
FSR CMS 274, NCI 275, EPA 276, FEMA Main 277, eRule 278	FSR 274, FSR 276, FSR 277, FSR 278, FSR 275	CMS Custom Questions ,   NCI Custom Questions ,   EPA New Model ,   FEMA Main Custom Questions ,   eRulemakng FDMS Custom Questions
FSR 260 Obama Directives	FSR 260	Obama Directives
FSR 265 FTC Complaint Assistant, FSR 266 CFTC, FSR 267 HHS NIDCR, FSR 268 HHS NCI SEER, FSR 269 FDA	FSR 268, FSR 269, FSR 265, FSR 266, FSR 267	FTC Complaint Assistant questionnaire ,   CFTC questionnaire ,   HHS NIDCR Spanish questionnaire ,   HHS NCI SEER questionnaire ,   HHS FDA questionnaire
FSR 250 GSA Regulations.gov, FSR 251 DOC NOAA NGS	FSR 251, FSR 250	GSA Regulations.gov questionnaire ,   DOC NOAA NGS questionnaire
FSR 247 DOD Air Force, FSR 248 HHS CMS FCSO J9 MAC, FSR 249 CitizenFeedback	FSR 247, FSR 248, FSR 249	Citizen Feedback Questionnaire ,   DOD Air Force questionnaire ,   HHS CMS FCSO J9 MAC questionnaire
FSR 279 DOI Main, FSR 280 CMS FCSO	FSR 279, FSR 280	DOI Main ,   HHS CMS FCSO
333 CQs for OMB 6-8-2010 to 7-6-2010 334 NRC Questionnaire with Transparency 6.8.10	334 NRC 6.8.10, 333 6-8-2010	333 CQs for OMB 6-8-2010 to 7-6-2010 ,   334 NRC Questionnaire with Transparency 6.8.10
343-347 Census Q's; CQ's 7-19-10 to 8-8-2010; NIH NIGMS; DOD Navy 7-22-2010; DOT Intranet 7-15-2010	347 DOT Intranet 7-15-2010, 345 NIH NIGMS Questionnaire Template FINAL, 346 Proposed Questionnaire Template DOD Navy 7-22-, 344 CQs for OMB 7-19-2010 to 8-8-2010, 343 Census Questionnaire _Template 7-16-10proposed	343 Census Questionnaire _Template 7-16-10proposed ,   344 CQs for OMB 7-19-2010 to 8-8-2010 ,   345 NIH NIGMS Questionnaire Template FINAL ,   346 Proposed Questionnaire Template DOD Navy 7-22-10 ,   347 DOT Intranet 7-15-2010
460 US Embassies Entepr, 461 CMS Medicare Plan Finder, 462 CQs for OMB 6-14-2011, 463 DoD Enterprise Measure Q's	460 US Embassies Enterprise Survey, 463 DoD Enterprise Measure Q's, 461 CMS Medicare Plan Finder, 462 CQs for OMB started 6-14-2011	460 US Embassies Enterprise Survey ,   461 CMS Medicare Plan Finder ,   462 CQs for OMB started 6-14-2011 ,   463 DoD Enterprise Measure Q's

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	1,520,000	1,000,000	0	520,000	0	0
Annual Time Burden (Hours)	62,917	41,667	0	21,250	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is to request a non-substantive change to increase the number of burden hours estimated for this ICR. On July 9, 2009, this office inadvertently entered 520,000 respondents on a particular survey, instead of 10,000. The result was an overstatement of the burden hours for the survey totaling 21,250. This reduced the number of burden hours available for this ICR by over half. We did not realize this error had occurred until a ROCIS message was received indicating that we could not submit additional surveys for clearance, because doing so would exceed the total burden hours estimated in the ICR.

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Annual Cost to Federal Government: $8,550,000

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 01/27/2011

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