372 PBGC 372 PBGC My PAA v3

American Customer Satisfaction Index (ACSI) E-Government Website Customer Satisfaction Surveys

2010 372 PBGC My PAA v3 Questionnaire 10-4-2010.xlsx

Previously Cleared ICs from prior Generic ICR

OMB: 1090-0008

Document [xlsx]
Download: xlsx | pdf
Model Instance Name:

red & strike-through: DELETE





#REF!

underlined & italicized: RE-ORDER





#REF!

pink: ADDITION





Date: 10/4/2010 blue + -->: REWORDING















#REF!
QID Skip Logic Label Question Text Answer Choices
(limited to 50 characters)
Skip to Type (select from list) Single or Multi Required
Y/N
Special Instructions CQ Labels
EDO06960
How <strong>frequently</strong> do you visit My PAA? Daily
Drop down, select one Single Y
Visit Frequency



Weekly








Monthly








Once per year








Twice per year








This is my first time





EDO06961
Did you set up a My PAA account in the past three months? Yes A, B, C Drop down, select one Single Y Skip Logic Group Account Setup



No








Not sure





EDO06962 A Please rate the number of steps required to set up an account on this site. 1 = Poor
Radio button, scale, has don't know Single Y Skip Logic Group AS_Steps



2








3








4








5








6








7








8








9








10 = Excellent








Don’t know





EDO06963 B Please rate the verification of account set-up on this site. 1 = Poor
Radio button, scale, has don't know Single Y Skip Logic Group AS_Verify



2








3








4








5








6








7








8








9








10 = Excellent








Don’t know





EDO06964 C Please rate the ease of choosing/modifying your password on this site. 1 = Poor
Radio button, scale, has don't know Single Y Skip Logic Group AS_Password



2








3








4








5








6








7








8








9








10 = Excellent








Don’t know





EDO06965
Which <strong>best describes you</strong>? Actuary
Radio button, one-up vertical Single Y Skip Logic Group Best Describes



Attorney








Third Party Administrator (TPA)








Consultant or accountant








Plan administrator or sponsor B







Representative of plan administrator or sponsor B







Other (please specify) B




EDO06966 B Which of the following best describes you? Employee benefits professional
Radio button, one-up vertical Single Y Skip Logic Group Description



Small-business (<100 plan participants) owner or worker








Small-business (<100 plan participants) mgr/admin








Other A




EDO06967 A Other - best describes you

Text field, <100 char Single Y Skip Logic Group OE_Best Describes
EDO06968
What was your <strong>purpose</strong> in visiting My PAA today? Premium filing
Radio button, one-up vertical Single Y OPS Group Purpose



Review/print premium filing receipt







Review account history







Create an account







Update an account







Add a plan/update filing team information







Other (please specify) B



EDO06969 B Other - best describes your purpose is visiting PBGC's website today

Text field, <100 char Single Y OPS Group OE_Purpose
EDO06970
Did you <strong>accomplish your goal using My PAA</strong>? Yes
Drop down, select one Single Y Skip Logic Group Accomplish Goal



No F







In part G




EDO06971 F Why were you unable to accomplish your goal?

Text area, no char limit Single Y Skip Logic Group OE_Unable to Accomplish
EDO06972 G Why were you able to complete your goal only in part?

Text area, no char limit Single Y Skip Logic Group OE_Complete in Part
EDO06973
Did you experience any <strong>problems</strong> with My PAA? No
Radio button, one-up vertical Single Y Skip Logic Group Experience Problems



Yes C




EDO06974 C What problems did you experience? (Select all that apply.) Had technical difficulties or system outage/slowness
Checkbox, one-up vertical Single Y Skip Logic Group Problems



Was unexpectedly timed out or logged off








Had password, ID, secret question/answer issues








Was not clear how to create/edit filing








Was not clear how to sign/authorize payment








Was not clear how to submit filing








Other (please specify) H




EDO06975 H Description of problems with website

Text field, <100 char Single Y Skip Logic Group OE_Problems
EDO06976
<strong>What other changes, information, or online services</strong> would you like to see in My PAA? None
Radio button, one-up vertical Single Y OPS Group Changes


Please consider D




EDO07042 D Description of other information or online services

Text field, <100 char Single Y OPS Group OE_Changes
EDO06977
<strong>What kind of help</strong> would you like to see available when using My PAA? Nothing
Radio button, one-up vertical Single Y OPS Group Help



Please consider E




EDO06978 E Description of help you would like to see available

Text field, <100 char Single Y OPS Group OE_Help
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