311 CQs 311 CQs 3-29-10

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

311 Custom Qs 3-29-2010 to 4-13-2010.xls

Previously Cleared ICs from prior Generic ICR

OMB: 1090-0008

Document [xlsx]
Download: xlsx | pdf
Measures Name/Client name (CDs and Answer choices)


















Careers.State.gov v2




























ACQOsl0000801
What best describes you? High school student
radio button, one-up vertical Single Y
Role



Undergraduate/Associates Degree student







Graduate student (Masters Degree/PhD)








Self-employed








Full time employee, entry level (less than 2 years of professional experience)








Full time employee, mid level (2-5 Years of professional experience)








Full time employee, management level (5+ years of professional experience)








Currently serving in the military








Retired








Veteran








None of the above





ACQOsl0000821
Please choose your age group: Under 21
dropdown Single N
Age


21 - 30







31 - 40







41 - 50







Over 50







Prefer not to answer





ACQOsl0000841
Do you qualify for disability benefits? Yes
dropdown Single N
Disability Benefits


No






Prefer not to answer

























EPA


















AED08919 A Which of the following best describes your work? Regulated company/entity




Business Work



EPA contractor








Contractor for other federal agency








Consultant








Other, please specify: D




AED08937
Which of the following topics best describes the information you wanted today? Air
Radio Button One Up Vertical Single Y Skip Logic Group Reason for Visit



Water








Waste/Pollution








Chemicals








Climate change








Data set and raw data








Statistical information








UVindex








Fuel/Oil








Living Green








Human Health








Mold








Pesticides








Radon








Recycling








Lead, mercury, metals








Laws and regulations








Science and technology (for example models, methods, data etc.) B







Grants and contracts








Careers and employment








Other, please specify: A




AED08958
How did you find the EPA site? Search engine
Radio Button Two Up Vertical Single Y OPS Group Find Site



Referral or links from other sites








Assumed EPA had a web site/Used web site before








Media/news story








Word of mouth








Site bookmarked








Email subscriptions/RSS feeds








Blogs








Podcasts








Received environmental information via mobile phone








Facebook, MySpace








Second Life, Whyville








Twitter








YouTube








Other, please specify: A














PBGC


















EDO01183
Please think about what services you would want if you needed assistance while visiting PBGC.gov. For the following types of assistance, please indicate when you would be most likely to use such services if they were available, or if you would not use a particular method at all.
800 number
M-F 8AM-7PM Eastern
Drop down, select one Single N Matrix 800 number


M-F before 8AM Eastern







M-F after 7PM Eastern







Weekends







Would NOT use this method





EDO01184
Live chat/messaging (typing live to a PBGC rep) M-F 8AM-7PM Eastern
Drop down, select one Single N Matrix Live chat



M-F before 8AM Eastern








M-F after 7PM Eastern








Weekends








Would NOT use this method





EDO01185
Online help (looking up your question online) M-F 8AM-7PM Eastern
Drop down, select one Single N Matrix Online help



M-F before 8AM Eastern








M-F after 7PM Eastern








Weekends








Would NOT use this method





EDO01186
E-mail (sending an email to a PBGC rep) M-F 8AM-7PM Eastern
Drop down, select one Single N Matrix E-mail



M-F before 8AM Eastern








M-F after 7PM Eastern








Weekends








Would NOT use this method















PBGC MyPBA


















EDO01179
Please think about what services you would want if you needed assistance while visiting MyPBA. For the following types of assistance, please indicate when you would be most likely to use such services if they were available, or if you would not use a particular method at all.
800 number
M-F 8AM-7PM Eastern
Drop down, select one Single N Matrix 800 number


M-F before 8AM Eastern







M-F after 7PM Eastern







Weekends







Would NOT use this method





EDO01180
Live chat/message (typing live to a PBGC rep) M-F 8AM-7PM Eastern
Drop down, select one Single N Matrix Live chat



M-F before 8AM Eastern








M-F after 7PM Eastern








Weekends








Would NOT use this method





EDO01181
Online help (looking up your question online) M-F 8AM-7PM Eastern
Drop down, select one Single N Matrix Online help



M-F before 8AM Eastern








M-F after 7PM Eastern








Weekends








Would NOT use this method





EDO01182
E-mail (sending an email to a PBGC rep) M-F 8AM-7PM Eastern
Drop down, select one Single N Matrix E-mail



M-F before 8AM Eastern








M-F after 7PM Eastern








Weekends








Would NOT use this method















DOI Main


















CWS02629
What was your primary reason for visiting this site today? Learn more about DOI
Radio button, one-up vertical Single Y Skip Logic Group Reason


Look for contact information





Research a particular Bureau or Service within DOI E




Watch webcams





Read news





Find a job





School project or assignment





Watch a video/Listen to Audio





Other D












CMS


















NEW
What is your primary reason for visiting this site today? Access claim status and/or beneficiary eligibility
Radio buttons select one Y OPS Group Visit Reason



Download forms




Learn of, or register for, workshops, seminars or other training events




Find contact information




Find general Medicare program information




Research a specific question on Medicare policy or billing




Find information on fees or fee schedules




Find out about a Local Coverage Determination (LCD)




Read Medicare publications such as newsletters, articles,etc.




Find enrollment information




Take an on-line training course




Other (please specify) SKIP B
NEW SKIP B Other - primary reason?




OPS Group Other Visit Reason
File Typeapplication/vnd.ms-excel
Authorsilvina diaz
Last Modified Bysgrow
File Modified2010-04-13
File Created2009-11-17

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