Customer Satisfaction Measure of Government Websites

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 487 SSA Extra Help 487 SSA Extra Help V2 (English Eqiv)	Form	New	Available
Form 486 PBGC.gov V3 486 PBGC.gov V3	Form	New	Available
Form 485 NIAID October 485 NIAID October 2011	Form	New	Available
Form 484 Healthfinder - 484 Healthfinder -V2 - October 2011	Form	New	Available
Form 483 CQs for OMB st 483 CQs for OMB started 9-15-2011	Form	New	Available
Form 482 CQs for OMB st 482 CQs for OMB started 8-22-2011	Form	New	Available
Form 481 FBI V3 Questio 481 FBI V3 Questionnaire	Form	New	Available
Form 2011 479 CQs for O 2011 479 CQs for OMB started 7-26-2011	Form	New	Available
Form 2011 478 FSIS Intr 2011 478 FSIS Intranet Questionnaire_8-9-11	Form	New	Available
Form 473 SSA iClaim v2 473 SSA iClaim v2	Form	New	Available
Form 472 CQs for OMB st 472 CQs for OMB started 7-8-2011	Form	New	Available
Form 471 HealthIT+qnair 471 HealthIT+qnaire+for+dataload+final	Form	New	Available
Form 463 DoD Enterprise 463 DoD Enterprise Measure Q's	Form	New	Available
Form 462 CQs for OMB st 462 CQs for OMB started 6-14-2011	Form	New	Available
Form 461 CMS Medicare P 461 CMS Medicare Plan Finder	Form	New	Available
Form 460 US Embassies E 460 US Embassies Enterprise Survey	Form	New	Available
Form 459 US Courts Surv 459 US Courts Survey	Form	New	Available
Form 458 NICHD Survey 458 NICHD Survey	Form	New	Available
Form 457 CQs for OMB st 457 CQs for OMB started 5-17-2011	Form	New	Available
Form 441 FMCSA Satisfac 441 FMCSA Satisfaction Survey v2	Form	New	Available
Form 443 CQs for OMB st 443 CQs for OMB started 4-28-2011	Form	New	Available
Form 442 FMCSA Share th 442 FMCSA Share the Road	Form	New	Available
Form 440 FMCSA Protect 440 FMCSA Protect Your Move Satisfaction Survey V2	Form	New	Available
Form 439 FMCSA Passenge 439 FMCSA Passenger Carrier Satisfaction Survey	Form	New	Available
Form 433 Benefits.gov 433 Benefits.gov	Form	New	Available
Form 432 FEMA Readygov_ 432 FEMA Readygov_Template_4.13.11	Form	New	Available
Form 431 CQs for OMB 4- 431 CQs for OMB 4-8-2011 to 4-28-2011	Form	New	Available
Form 427 CQs for OMB 3- 427 CQs for OMB 3-25-2011 to 4-8-2011	Form	New	Available
Form 426 NIST Sat Surve 426 NIST Sat Survey v2 03-28-11	Form	New	Available
Form 425 FEMA Mobile Su 425 FEMA Mobile Survey Final 2.28.11	Form	New	Available
Form 424 AHRQ Effective 424 AHRQ Effective Health Care	Form	New	Available
Form 422 DOT FHWA Quest 422 DOT FHWA Questionnaire 02-17-2011	Form	New	Available
Form 421 DHHS-PSC Offli 421 DHHS-PSC Offline Services Questionnaire 02-25-11	Form	New	Available
Form 420 CQs for OMB 2- 420 CQs for OMB 2-4-2011 to 3-25-11	Form	New	Available
Form 419 CMS Palmetto G 419 CMS Palmetto GBA J11 MAC Questionnaire 3-10-11	Form	New	Available
Form 418 NLM Clinical T 418 NLM Clinical Trials Questionnaire _2-14-11	Form	New	Available
Form 417 Howto.gov Surv 417 Howto.gov Survey 3.7.2011 - current	Form	New	Available
Form 416 FCIC Pueblo Su 416 FCIC Pueblo Survey revisions_11Feb2011	Form	New	Available
Form 415 FCIC Consumer 415 FCIC Consumer Action CQ revisions_11Feb2011	Form	New	Available
Form 414 ePSS Questionn 414 ePSS Questionnaire Wave 1 Revised	Form	New	Available
Form 408 Questionnaire 408 Questionnaire RegInfo v2	Form	New	Available
Form 407 GSA Xcess FINA 407 GSA Xcess FINAL 1-7-11	Form	New	Available
Form 406 GSA Auctions F 406 GSA Auctions FINAL 1-12-11	Form	New	Available
Form 405 CQs for OMB 1- 405 CQs for OMB 1-11-2011	Form	New	Available
Form 404 VOA English V2 404 VOA English V2 Qs	Form	New	Available
Form 401 CDC_New_Questi 401 CDC_New_Questionnaire_12_27_2010_FINAL3	Form	New	Available
Form 400 Q's_NGSNOAA_12 400 Q's_NGSNOAA_12-16-2010	Form	New	Available
Form 398 VA CQs for OMB 398 VA CQs for OMB 12-14-2010 to 1-11-2011	Form	New	Available
Form 399 NIDCR English 399 NIDCR English 2011 Q's	Form	New	Available
Form 394 DHS CIS Citize 394 DHS CIS Citizenship Resource Center 11-18-10FINAL	Form	Unchanged	Available
Form 393 CQs for OMB 11 393 CQs for OMB 11-29-2010 to 12-14-2010	Form	Unchanged	Available
Form 392 USTTB Custom Q 392 USTTB Custom Q's 11.29.10 v2	Form	Unchanged	Available
Form 387 CQs for OMB 11 387 CQs for OMB 11-3-2010 to 11-29-2010	Form	Unchanged	Available
Form 386 DOJ - BJS Ques 386 DOJ - BJS Questionnaire	Form	Unchanged	Available
Form 385 Capitol Visito 385 Capitol Visitor CenterQuestionnaire	Form	Unchanged	Available
Form 384 PSC Questionna 384 PSC Questionnaire Draft customer approved	Form	Unchanged	Available
Form 383 FedsHireVets F 383 FedsHireVets FINAL Questionnaire 110810	Form	Unchanged	Available
Form 382 FCA Draft Ques 382 FCA Draft Questionnaire	Form	Unchanged	Available
Form 2010 377 Qnaire_US 2010 377 Qnaire_USPTO_October_CB_Revised	Form	Unchanged	Available
Form 2010 378 CQs for O 2010 378 CQs for OMB 10-17-2010 to 11-3-2010	Form	Unchanged	Available
Form 373 CQs for OMB 9- 373 CQs for OMB 9-21-2010 to 10-17-2010	Form	Unchanged	Available
Form 372 PBGC My PAA v3 372 PBGC My PAA v3 Questionnaire 10-4-2010	Form	Unchanged	Available
Form 371 NLM Exhibition 371 NLM Exhibition Survey Template_9_10	Form	Unchanged	Available
Form 370 MyMoney gov Qu 370 MyMoney gov Questionnaire Template 9-17-10FINAL	Form	Unchanged	Available
Form 369 GobiernoUSA Qu 369 GobiernoUSA Questionnaire 9 28 10	Form	Unchanged	Available
Form 366 Q's for OMB 8- 366 Q's for OMB 8-25-2010 to 9-21-2010	Form	Unchanged	Available
Form 365 CPSC Q's 8-24- 365 CPSC Q's 8-24-2010	Form	Unchanged	Available
Form 364 Survey Final R 364 Survey Final RE and S-RE August, 2010	Form	Unchanged	Available
Form 363 NIH NIDCD 363 NIH NIDCD	Form	Unchanged	Available
Form 362 Final Q's Medi 362 Final Q's Medicare 09.07.2010	Form	Unchanged	Available
Form 347 DOT Intranet 7 347 DOT Intranet 7-15-2010	Form	Unchanged	Available
Form 346 Proposed Quest 346 Proposed Questionnaire Template DOD Navy 7-22-10	Form	Unchanged	Available
Form 345 NIH NIGMS Ques 345 NIH NIGMS Questionnaire Template FINAL	Form	Unchanged	Available
Form 344 CQs for OMB 7- 344 CQs for OMB 7-19-2010 to 8-8-2010	Form	Unchanged	Available
Form 343 Census Questio 343 Census Questionnaire _Template 7-16-10proposed	Form	Unchanged	Available
Form 341 Hoosier Lotter 341 Hoosier Lottery (State of Indiana) Questionnaire Final 7.8.10	Form	Unchanged	Available
Form 340 DOT VERSION_VH 340 DOT VERSION_VHA_Medical_Centers_Questionnaire_Template	Form	Unchanged	Available
Form 339 CQs for OMB 7- 339 CQs for OMB 7-6-2010 to 7-18-2010	Form	Unchanged	Available
Form 334 NRC 6.8.10 334 NRC Questionnaire with Transparency 6.8.10	Form	Unchanged	Available
Form 333 6-8-2010 333 CQs for OMB 6-8-2010 to 7-6-2010	Form	Unchanged	Available
Form 324 324 VBA_Survey FINAL_5-17-10_FSR	Form	Unchanged	Available
Form 323 323 SSA Policy Pages Final 5-19-10	Form	Unchanged	Available
Form 322 322 CQs for OMB 5-19-2010 to 6-7-2010	Form	Unchanged	Available
Form 316 FDIC CQs 316 FDIC Custom Questions	Form	Unchanged	Available
Form 315 DHS CBP 315 DHS CBP Final	Form	Unchanged	Available
Form 314 CQs 314 Custom Question 5-3 to 5-19-10	Form	Unchanged	Available
Form 313 CDC Mobile 313 Mobile Survey	Form	Unchanged	Available
Form 312 CQs 4-14-2010 312 CQs 4-14-2010 to 5-2-2010	Form	Unchanged	Available
Form 311 Custom Qs 311 Custom Qs 3-29-10 to 4-13-10	Form	Unchanged	Available
Form 310 RRB Final 310 RRB Final	Form	Unchanged	Available
Form 306 Cust Ques 306 Cust Ques 3-2 to 3-28-10	Form	Unchanged	Available
Form 305 State Careers 305 State Careers	Form	Unchanged	Available
Form 304 DOT NHTSA 304 DOT NHTSA	Form	Unchanged	Available
Form 302 CQs 302 Custom Questions 2-5-10 to 3-1-10	Form and Instruction	Unchanged	Available
Form 301 DoD AF 301 DoD AF 1-28-10	Form and Instruction	Unchanged	Available
Form 300 Mult CQs 300 Multiple Custom Questions 1-16-10 to 2-5-10	Form and Instruction	Unchanged	Available
Form 299 IIP Embassy 299 State IIP Embassy	Form and Instruction	Unchanged	Available
Form 293 DHS CIS Welcom 293 DHS CIS Welcome to USA Custom Ques	Form	Unchanged	Available
Form 292 DHS CIS Span 292 DHS CIS Spanish 11-30-09	Form	Unchanged	Available
Form 291 DHS CIS 291 DHS CIS English	Form	Unchanged	Available
Form 290 Custom Questio 290 Custom Questions for Clearance	Form	Unchanged	Available
Form 289 NIH 289 NIH Genome 1-6-2010	Form	Unchanged	Available
Form 287 Custom 287 Custom Questions from 11-16-09 to 12-4-09	Form	Unchanged	Available
Form 283 Master 283 Master Questions List as of 11-17-09	Form	Unchanged	Available
Form 285 eVfy 285 DHS CIS eVerify Questionnaire	Form	Unchanged	Available
Form 286 HHS ONC 286 HHS ONC Questions	Form	Unchanged	Available
Form FSR 283 Current Master Element List	Form	Unchanged	Available
Form FSR 281 Mobile Template Dept of State	Form	Unchanged	Available
Form FSR 282 DHS Questionnaire New Model	Form	Unchanged	Available
Form FSR 280 HHS CMS FCSO	Form	Unchanged	Available
Form FSR 279 DOI Main	Form	Unchanged	Available
Form FSR 278 eRulemakng FDMS Custom Questions	Form	Unchanged	Available
Form FSR 277 FEMA Main Custom Questions	Form	Unchanged	Available
Form FSR 276 EPA New Model	Form	Unchanged	Available
Form FSR 275 NCI Custom Questions	Form	Unchanged	Available
Form FSR 274 CMS Custom Questions	Form	Unchanged	Available
Form FSR 273 FTC On Guard Online questionnaire	Form and Instruction	Unchanged	Available
Form FSR 272 DHS USCIS Welcome to USA questionnaire	Form and Instruction	Unchanged	Available
Form FSR 271 Treas IRS questionnaire	Form and Instruction	Unchanged	Available
Form FSR 270 DOD Defense.gov questionnaire	Form and Instruction	Unchanged	Available
Form FSR 269 HHS FDA questionnaire	Form	Unchanged	Available
Form FSR 268 HHS NCI SEER questionnaire	Form	Unchanged	Available
Form FSR 267 HHS NIDCR Spanish questionnaire	Form	Unchanged	Available
Form FSR 266 CFTC questionnaire	Form	Unchanged	Available
Form FSR 265 FTC Complaint Assistant questionnaire	Form	Unchanged	Available
Form FSR 264 HHS AHRQ CAHPS questionnaire	Form	Unchanged	Available
Form FSR 263 Social Media questionnaire	Form	Unchanged	Available
Form FSR 262 Regulations.gov questionnaire	Form	Unchanged	Available
Form FSR 261 DHS FEMA Disaster Assistance questionnaire	Form	Unchanged	Available
Form FSR 260 Obama Directives	Form	Unchanged	Available
Form FSR 259 HHS CMS questionnaire	Form	Unchanged	Available
Form FSR 258 USDA CNPP questionnaire	Form	Unchanged	Available
Form FSR 257 HHS NLM OSA questionnaire	Form	Unchanged	Available
Form FSR 256 NIST Research.gov	Form	Unchanged	Available
Form FSR 255 State BCA Travel.State.gov questionnaire	Form	Unchanged	Available
Form FSR 254 VA eBenefits questionnaire	Form	Unchanged	Available
Form FSR 253 DHS FEMA questionnaire	Form	Unchanged	Available
Form FSR 252 State BECA Fulbright questionnaire	Form	Unchanged	Available
Form FSR 251 DOC NOAA NGS questionnaire	Form	Unchanged	Available
Form FSR 250 GSA Regulations.gov questionnaire	Form	Unchanged	Available
Form FSR 248 HHS CMS FCSO J9 MAC questionnaire	Form	Unchanged	Available
Form FSR 247 DOD Air Force questionnaire	Form	Unchanged	Available
Form FSR 249 Citizen Feedback Questionnaire	Form	Unchanged	Available
Form FSR 246 DOD Navy questionnaire	Form	Unchanged	Available
Form FSR 245 HHS CMS NGS questionnaire	Form	Unchanged	Available
Form FSR 244 DOD Marine Corps questionnaire	Form	Unchanged	Available
Form FSR 243 HHS SAMHSA Publications questionnaire	Form	Unchanged	Available
Form FSR 242 State America.gov questionnaire	Form	Unchanged	Available
Form FSR 241 OPM Job Seeker Post Completer questionnaire	Form	Unchanged	Available
Form FSR 240 OPM Job Seeker Abandoner questionnaire	Form	Unchanged	Available
Form FSR 239 OPM Job Seeker Completer Model questionnaire	Form	Unchanged	Available
Form FSR 238 DOD Pentagon Channel questionnaire	Form	Unchanged	Available
JUSTIFICATION FOR NO MATERIAL CHANGE NON SUBSTANTIVE CHANGE.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2011-01-26	Available
Support Statement B for OMB - ICR 1505-0191 Final.doc	Supporting Statement B	Uploaded 2008-09-25	Available
Supporting Statement for OMB - ICR 1505-0186 Final.doc	Supporting Statement A	Uploaded 2008-09-25	Available
CFI_ACSI Methodology in Mgmt of Govt Svcs Merz paper.pdf	Supplementary Document	Uploaded 2008-09-25	Available
Q2_2008 ACSI EGov presentation.pdf	Supplementary Document	Uploaded 2008-09-25	Available
ACSI Methodology Paper.pdf	Supplementary Document	Uploaded 2008-09-25	Available
Federal Register Notice June 18, 2008.pdf	Supplementary Document	Uploaded 2008-09-25	Available
President's Management Agenda.pdf	Supplementary Document	Uploaded 2008-09-25	Available
Executive Order 12862.htm	Supplementary Document	Uploaded 2008-09-25	Available
List of Standard ForeSee Results ACSI Questions.xls	Supplementary Document	Uploaded 2008-09-25	Available
List of Custom ForeSee Results ACSI Questions.xls	Supplementary Document	Uploaded 2008-09-25	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
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	487 SSA Extra Help V2 (English Eqiv)
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	486 PBGC.gov V3
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	485 NIAID October 2011
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	484 Healthfinder -V2 - October 2011
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	483 CQs for OMB started 9-15-2011
199264	481 FBI V3 Questionnaire; 482 CQs for OMB started 8-22-2011	Form	New	482 CQs for OMB started 8-22-2011
199264	481 FBI V3 Questionnaire; 482 CQs for OMB started 8-22-2011	Form	New	481 FBI V3 Questionnaire
198980	478 FSIS Intranet Questionnaire_8-9-11, 479 CQs for OMB started 7-26-2011	Form	New	2011 479 CQs for OMB started 7-26-2011
198980	478 FSIS Intranet Questionnaire_8-9-11, 479 CQs for OMB started 7-26-2011	Form	New	2011 478 FSIS Intranet Questionnaire_8-9-11
198660	471 HealthIT+qnaire+for+dataload+final;472CQs for OMB started 7-8-2011; 473 SSA iClaim v2	Form	New	473 SSA iClaim v2
198660	471 HealthIT+qnaire+for+dataload+final;472CQs for OMB started 7-8-2011; 473 SSA iClaim v2	Form	New	472 CQs for OMB started 7-8-2011
198660	471 HealthIT+qnaire+for+dataload+final;472CQs for OMB started 7-8-2011; 473 SSA iClaim v2	Form	New	471 HealthIT+qnaire+for+dataload+final
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	463 DoD Enterprise Measure Q's
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	462 CQs for OMB started 6-14-2011
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	461 CMS Medicare Plan Finder
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	460 US Embassies Enterprise Survey
198145	457 CQs for OMB started 5-17-2011,458 NICHD Survey, 459 US Courts Survey	Form	New	459 US Courts Survey
198145	457 CQs for OMB started 5-17-2011,458 NICHD Survey, 459 US Courts Survey	Form	New	458 NICHD Survey
198145	457 CQs for OMB started 5-17-2011,458 NICHD Survey, 459 US Courts Survey	Form	New	457 CQs for OMB started 5-17-2011
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	441 FMCSA Satisfaction Survey v2
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	443 CQs for OMB started 4-28-2011
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	442 FMCSA Share the Road
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	440 FMCSA Protect Your Move Satisfaction Survey V2
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	439 FMCSA Passenger Carrier Satisfaction Survey
197533	431 CQs for OMB 4-8-2011 to 4-28-2011; 432 FEMA Readygov_Template_4.13.11, 433 Benefits.gov	Form	New	433 Benefits.gov
197533	431 CQs for OMB 4-8-2011 to 4-28-2011; 432 FEMA Readygov_Template_4.13.11, 433 Benefits.gov	Form	New	432 FEMA Readygov_Template_4.13.11
197533	431 CQs for OMB 4-8-2011 to 4-28-2011; 432 FEMA Readygov_Template_4.13.11, 433 Benefits.gov	Form	New	431 CQs for OMB 4-8-2011 to 4-28-2011
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	427 CQs for OMB 3-25-2011 to 4-8-2011
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	426 NIST Sat Survey v2 03-28-11
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	425 FEMA Mobile Survey Final 2.28.11
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	424 AHRQ Effective Health Care
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	422 DOT FHWA Questionnaire 02-17-2011
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	421 DHHS-PSC Offline Services Questionnaire 02-25-11
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	420 CQs for OMB 2-4-2011 to 3-25-11
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	419 CMS Palmetto GBA J11 MAC Questionnaire 3-10-11
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	418 NLM Clinical Trials Questionnaire _2-14-11
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	417 Howto.gov Survey 3.7.2011 - current
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	416 FCIC Pueblo Survey revisions_11Feb2011
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	415 FCIC Consumer Action CQ revisions_11Feb2011
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	414 ePSS Questionnaire Wave 1 Revised
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	408 Questionnaire RegInfo v2
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	407 GSA Xcess FINAL 1-7-11
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	406 GSA Auctions FINAL 1-12-11
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	405 CQs for OMB 1-11-2011
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	404 VOA English V2 Qs
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	401 CDC_New_Questionnaire_12_27_2010_FINAL3
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	400 Q's_NGSNOAA_12-16-2010
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	398 VA CQs for OMB 12-14-2010 to 1-11-2011
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	399 NIDCR English 2011 Q's
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	394 DHS CIS Citizenship Resource Center 11-18-10FINAL
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	393 CQs for OMB 11-29-2010 to 12-14-2010
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	392 USTTB Custom Q's 11.29.10 v2
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	387 CQs for OMB 11-3-2010 to 11-29-2010
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	386 DOJ - BJS Questionnaire
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	385 Capitol Visitor CenterQuestionnaire
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	384 PSC Questionnaire Draft customer approved
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	383 FedsHireVets FINAL Questionnaire 110810
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	382 FCA Draft Questionnaire
195132	377 USPTO 378 CQs for OMB 10-17-2010 to 11-3-2010	Form	Unchanged	2010 377 Qnaire_USPTO_October_CB_Revised
195132	377 USPTO 378 CQs for OMB 10-17-2010 to 11-3-2010	Form	Unchanged	2010 378 CQs for OMB 10-17-2010 to 11-3-2010
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	373 CQs for OMB 9-21-2010 to 10-17-2010
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	372 PBGC My PAA v3 Questionnaire 10-4-2010
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	371 NLM Exhibition Survey Template_9_10
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	370 MyMoney gov Questionnaire Template 9-17-10FINAL
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	369 GobiernoUSA Questionnaire 9 28 10
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	366 Q's for OMB 8-25-2010 to 9-21-2010
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	365 CPSC Q's 8-24-2010
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	364 Survey Final RE and S-RE August, 2010
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	363 NIH NIDCD
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	362 Final Q's Medicare 09.07.2010
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	347 DOT Intranet 7-15-2010
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	346 Proposed Questionnaire Template DOD Navy 7-22-10
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	345 NIH NIGMS Questionnaire Template FINAL
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	344 CQs for OMB 7-19-2010 to 8-8-2010
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	343 Census Questionnaire _Template 7-16-10proposed
193844	CQs 7-6-2010 to 7-18-2010 DOT VERSION_VHA_Medical_Centers Hoosier Lottery (State of Indiana)	Form	Unchanged	341 Hoosier Lottery (State of Indiana) Questionnaire Final 7.8.10
193844	CQs 7-6-2010 to 7-18-2010 DOT VERSION_VHA_Medical_Centers Hoosier Lottery (State of Indiana)	Form	Unchanged	340 DOT VERSION_VHA_Medical_Centers_Questionnaire_Template
193844	CQs 7-6-2010 to 7-18-2010 DOT VERSION_VHA_Medical_Centers Hoosier Lottery (State of Indiana)	Form	Unchanged	339 CQs for OMB 7-6-2010 to 7-18-2010
193697	333 CQs for OMB 6-8-2010 to 7-6-2010 334 NRC Questionnaire with Transparency 6.8.10	Form	Unchanged	334 NRC Questionnaire with Transparency 6.8.10
193697	333 CQs for OMB 6-8-2010 to 7-6-2010 334 NRC Questionnaire with Transparency 6.8.10	Form	Unchanged	333 CQs for OMB 6-8-2010 to 7-6-2010
193216	322-324 CQs 5-19-2010 to 6-7-2010 SSA 5-19-10 VBA_5-17-10	Form	Unchanged	324 VBA_Survey FINAL_5-17-10_FSR
193216	322-324 CQs 5-19-2010 to 6-7-2010 SSA 5-19-10 VBA_5-17-10	Form	Unchanged	323 SSA Policy Pages Final 5-19-10
193216	322-324 CQs 5-19-2010 to 6-7-2010 SSA 5-19-10 VBA_5-17-10	Form	Unchanged	322 CQs for OMB 5-19-2010 to 6-7-2010
192941	313 CDC Mobile 314 CQs 5-3 to 5-19-10 315 DHS CBP 316 FCIC CQs	Form	Unchanged	316 FDIC Custom Questions
192941	313 CDC Mobile 314 CQs 5-3 to 5-19-10 315 DHS CBP 316 FCIC CQs	Form	Unchanged	315 DHS CBP Final
192941	313 CDC Mobile 314 CQs 5-3 to 5-19-10 315 DHS CBP 316 FCIC CQs	Form	Unchanged	314 Custom Question 5-3 to 5-19-10
192941	313 CDC Mobile 314 CQs 5-3 to 5-19-10 315 DHS CBP 316 FCIC CQs	Form	Unchanged	313 Mobile Survey
192669	312 CQs for OMB 4-14-2010 to 5-2-2010	Form	Unchanged	312 CQs 4-14-2010 to 5-2-2010
192545	310 RRB and 311 Custom Qs	Form	Unchanged	311 Custom Qs 3-29-10 to 4-13-10
192545	310 RRB and 311 Custom Qs	Form	Unchanged	310 RRB Final
192368	304 NHTSA 305 State Careers 306 Cust Ques	Form	Unchanged	306 Cust Ques 3-2 to 3-28-10
192368	304 NHTSA 305 State Careers 306 Cust Ques	Form	Unchanged	305 State Careers
192368	304 NHTSA 305 State Careers 306 Cust Ques	Form	Unchanged	304 DOT NHTSA
192172	301 DoD AF 302 Cust Ques 2-5-10 thru 3-1-10	Form and Instruction	Unchanged	302 Custom Questions 2-5-10 to 3-1-10
192172	301 DoD AF 302 Cust Ques 2-5-10 thru 3-1-10	Form and Instruction	Unchanged	301 DoD AF 1-28-10
191992	299 IIP Embassies, 300 Custom Quest	Form and Instruction	Unchanged	300 Multiple Custom Questions 1-16-10 to 2-5-10
191992	299 IIP Embassies, 300 Custom Quest	Form and Instruction	Unchanged	299 State IIP Embassy
191800	289 NIH Genome, 290 Cust. Ques for Clearance, 291 DHS CIS Eng, 292 DHS CIS Span, 293 DHS CIS Welcome	Form	Unchanged	293 DHS CIS Welcome to USA Custom Ques
191800	289 NIH Genome, 290 Cust. Ques for Clearance, 291 DHS CIS Eng, 292 DHS CIS Span, 293 DHS CIS Welcome	Form	Unchanged	292 DHS CIS Spanish 11-30-09
191800	289 NIH Genome, 290 Cust. Ques for Clearance, 291 DHS CIS Eng, 292 DHS CIS Span, 293 DHS CIS Welcome	Form	Unchanged	291 DHS CIS English
191800	289 NIH Genome, 290 Cust. Ques for Clearance, 291 DHS CIS Eng, 292 DHS CIS Span, 293 DHS CIS Welcome	Form	Unchanged	290 Custom Questions for Clearance
191800	289 NIH Genome, 290 Cust. Ques for Clearance, 291 DHS CIS Eng, 292 DHS CIS Span, 293 DHS CIS Welcome	Form	Unchanged	289 NIH Genome 1-6-2010
191492	283 Master, 285 DHS CIS eVfy, 286 HHS ONC, 287 CQs	Form	Unchanged	287 Custom Questions from 11-16-09 to 12-4-09
191492	283 Master, 285 DHS CIS eVfy, 286 HHS ONC, 287 CQs	Form	Unchanged	283 Master Questions List as of 11-17-09
191492	283 Master, 285 DHS CIS eVfy, 286 HHS ONC, 287 CQs	Form	Unchanged	285 DHS CIS eVerify Questionnaire
191492	283 Master, 285 DHS CIS eVfy, 286 HHS ONC, 287 CQs	Form	Unchanged	286 HHS ONC Questions
191236	FSR 281 mobile Template Dept of State, 282 DHS Questionnaire New Model	Form	Unchanged	Current Master Element List
191236	FSR 281 mobile Template Dept of State, 282 DHS Questionnaire New Model	Form	Unchanged	Mobile Template Dept of State
191236	FSR 281 mobile Template Dept of State, 282 DHS Questionnaire New Model	Form	Unchanged	DHS Questionnaire New Model
191121	FSR 279 DOI Main, FSR 280 CMS FCSO	Form	Unchanged	HHS CMS FCSO
191121	FSR 279 DOI Main, FSR 280 CMS FCSO	Form	Unchanged	DOI Main
190935	FSR CMS 274, NCI 275, EPA 276, FEMA Main 277, eRule 278	Form	Unchanged	eRulemakng FDMS Custom Questions
190935	FSR CMS 274, NCI 275, EPA 276, FEMA Main 277, eRule 278	Form	Unchanged	FEMA Main Custom Questions
190935	FSR CMS 274, NCI 275, EPA 276, FEMA Main 277, eRule 278	Form	Unchanged	EPA New Model
190935	FSR CMS 274, NCI 275, EPA 276, FEMA Main 277, eRule 278	Form	Unchanged	NCI Custom Questions
190935	FSR CMS 274, NCI 275, EPA 276, FEMA Main 277, eRule 278	Form	Unchanged	CMS Custom Questions
190471	FSR 270 DOD Defense.gov, FSR 271 Treas IRS, FSR 272 DHS USCIS, FSR 273 FTC OnGuard Online	Form and Instruction	Unchanged	FTC On Guard Online questionnaire
190471	FSR 270 DOD Defense.gov, FSR 271 Treas IRS, FSR 272 DHS USCIS, FSR 273 FTC OnGuard Online	Form and Instruction	Unchanged	DHS USCIS Welcome to USA questionnaire
190471	FSR 270 DOD Defense.gov, FSR 271 Treas IRS, FSR 272 DHS USCIS, FSR 273 FTC OnGuard Online	Form and Instruction	Unchanged	Treas IRS questionnaire
190471	FSR 270 DOD Defense.gov, FSR 271 Treas IRS, FSR 272 DHS USCIS, FSR 273 FTC OnGuard Online	Form and Instruction	Unchanged	DOD Defense.gov questionnaire
190115	FSR 265 FTC Complaint Assistant, FSR 266 CFTC, FSR 267 HHS NIDCR, FSR 268 HHS NCI SEER, FSR 269 FDA	Form	Unchanged	HHS FDA questionnaire
190115	FSR 265 FTC Complaint Assistant, FSR 266 CFTC, FSR 267 HHS NIDCR, FSR 268 HHS NCI SEER, FSR 269 FDA	Form	Unchanged	HHS NCI SEER questionnaire
190115	FSR 265 FTC Complaint Assistant, FSR 266 CFTC, FSR 267 HHS NIDCR, FSR 268 HHS NCI SEER, FSR 269 FDA	Form	Unchanged	HHS NIDCR Spanish questionnaire
190115	FSR 265 FTC Complaint Assistant, FSR 266 CFTC, FSR 267 HHS NIDCR, FSR 268 HHS NCI SEER, FSR 269 FDA	Form	Unchanged	CFTC questionnaire
190115	FSR 265 FTC Complaint Assistant, FSR 266 CFTC, FSR 267 HHS NIDCR, FSR 268 HHS NCI SEER, FSR 269 FDA	Form	Unchanged	FTC Complaint Assistant questionnaire
189844	FSR 263 Social Media, FSR 264 HHS AHRQ CAHPS	Form	Unchanged	HHS AHRQ CAHPS questionnaire
189844	FSR 263 Social Media, FSR 264 HHS AHRQ CAHPS	Form	Unchanged	Social Media questionnaire
189769	FSR 261 DHS FEMA Disaster Assistance, FSR 262 Regulations.gov	Form	Unchanged	Regulations.gov questionnaire
189769	FSR 261 DHS FEMA Disaster Assistance, FSR 262 Regulations.gov	Form	Unchanged	DHS FEMA Disaster Assistance questionnaire
189546	FSR 260 Obama Directives	Form	Unchanged	Obama Directives
189241	FSR 253, FSR 254, FSR 255, FSR 256, FSR 257, FSR 258, FSR 259	Form	Unchanged	HHS CMS questionnaire
189241	FSR 253, FSR 254, FSR 255, FSR 256, FSR 257, FSR 258, FSR 259	Form	Unchanged	USDA CNPP questionnaire
189241	FSR 253, FSR 254, FSR 255, FSR 256, FSR 257, FSR 258, FSR 259	Form	Unchanged	HHS NLM OSA questionnaire
189241	FSR 253, FSR 254, FSR 255, FSR 256, FSR 257, FSR 258, FSR 259	Form	Unchanged	NIST Research.gov
189241	FSR 253, FSR 254, FSR 255, FSR 256, FSR 257, FSR 258, FSR 259	Form	Unchanged	State BCA Travel.State.gov questionnaire
189241	FSR 253, FSR 254, FSR 255, FSR 256, FSR 257, FSR 258, FSR 259	Form	Unchanged	VA eBenefits questionnaire
189241	FSR 253, FSR 254, FSR 255, FSR 256, FSR 257, FSR 258, FSR 259	Form	Unchanged	DHS FEMA questionnaire
188674	FSR 252 State BECA Fulbright	Form	Unchanged	State BECA Fulbright questionnaire
188417	FSR 250 GSA Regulations.gov, FSR 251 DOC NOAA NGS	Form	Unchanged	DOC NOAA NGS questionnaire
188417	FSR 250 GSA Regulations.gov, FSR 251 DOC NOAA NGS	Form	Unchanged	GSA Regulations.gov questionnaire
188008	FSR 247 DOD Air Force, FSR 248 HHS CMS FCSO J9 MAC, FSR 249 CitizenFeedback	Form	Unchanged	HHS CMS FCSO J9 MAC questionnaire
188008	FSR 247 DOD Air Force, FSR 248 HHS CMS FCSO J9 MAC, FSR 249 CitizenFeedback	Form	Unchanged	DOD Air Force questionnaire
188008	FSR 247 DOD Air Force, FSR 248 HHS CMS FCSO J9 MAC, FSR 249 CitizenFeedback	Form	Unchanged	Citizen Feedback Questionnaire
187826	FSR 245 HHS CMS NGS, FSR 246 DOD Navy	Form	Unchanged	DOD Navy questionnaire
187826	FSR 245 HHS CMS NGS, FSR 246 DOD Navy	Form	Unchanged	HHS CMS NGS questionnaire
187665	FSR 244 DOD Marine Corps	Form	Unchanged	DOD Marine Corps questionnaire
187410	FSR 224 DOD Marine Corps	Form	Unchanged	HHS SAMHSA Publications questionnaire
187410	FSR 224 DOD Marine Corps	Form	Unchanged	State America.gov questionnaire
187410	FSR 224 DOD Marine Corps	Form	Unchanged	OPM Job Seeker Post Completer questionnaire
187410	FSR 224 DOD Marine Corps	Form	Unchanged	OPM Job Seeker Abandoner questionnaire
187410	FSR 224 DOD Marine Corps	Form	Unchanged	OPM Job Seeker Completer Model questionnaire
187410	FSR 224 DOD Marine Corps	Form	Unchanged	DOD Pentagon Channel questionnaire

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
Retrieve Notice of Action (NOA)	Date Received in OIRA: 01/27/2011
Terms of Clearance:

table that charts list comparision

	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

---

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.

---

Authorizing Statute(s): None

Citations for New Statutory Requirements: None

---

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

---

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

---

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

table that charts list of burden

IC Title	Form No.	Form Name
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
283 Master, 285 DHS CIS eVfy, 286 HHS ONC, 287 CQs	285 eVfy, 286 HHS ONC, 287 Custom, 283 Master	285 DHS CIS eVerify Questionnaire ,   283 Master Questions List as of 11-17-09 ,   286 HHS ONC Questions ,   287 Custom Questions from 11-16-09 to 12-4-09
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
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
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
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
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
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
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
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
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
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
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
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 377 Qnaire_USPTO_October_CB_Revised ,   2010 378 CQs for OMB 10-17-2010 to 11-3-2010
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
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	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 ,   401 CDC_New_Questionnaire_12_27_2010_FINAL3 ,   404 VOA English V2 Qs ,   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
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
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
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
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
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
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
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
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
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
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)
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
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 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
FSR 247 DOD Air Force, FSR 248 HHS CMS FCSO J9 MAC, FSR 249 CitizenFeedback	FSR 247, FSR 248, FSR 249	DOD Air Force questionnaire ,   HHS CMS FCSO J9 MAC questionnaire ,   Citizen Feedback Questionnaire
FSR 250 GSA Regulations.gov, FSR 251 DOC NOAA NGS	FSR 251, FSR 250	GSA Regulations.gov questionnaire ,   DOC NOAA NGS questionnaire
FSR 252 State BECA Fulbright	FSR 252	State BECA Fulbright questionnaire
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 260 Obama Directives	FSR 260	Obama Directives
FSR 261 DHS FEMA Disaster Assistance, FSR 262 Regulations.gov	FSR 262 , FSR 261	DHS FEMA Disaster Assistance questionnaire ,   Regulations.gov questionnaire
FSR 263 Social Media, FSR 264 HHS AHRQ CAHPS	FSR 264, FSR 263	Social Media questionnaire ,   HHS AHRQ CAHPS questionnaire
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 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
FSR 279 DOI Main, FSR 280 CMS FCSO	FSR 279, FSR 280	DOI Main ,   HHS CMS FCSO
FSR 281 mobile Template Dept of State, 282 DHS Questionnaire New Model	FSR 283, FSR 281, FSR 282	Mobile Template Dept of State ,   DHS Questionnaire New Model ,   Current Master Element List
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

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ICR Summary of Burden

table that charts list 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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