Information Collection

Benefits.gov Customer Satisfaction Survey and Comment Card

IC 221254 under ICR 201406-1225-002 · OMB 1225-0088.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1225-0088 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
1225-0088 Benefits.gov Survey Questions (04-25-2016).docx	Other-Survey Questions
1225-0088 Benefits_gov_Invitation_PRA Mock Up (04-25-2016).png	Other-Invitation
1225-0088 DOL_CommentCard_OMBcompliance (05-02-2016).png	Other-Comment Card View
1225-0088 Generic_Clearance_Submission_Benefits gov_Final_Survey and Comment Card (05-05-2016).docx Supporting Statement: Benefits.gov Customer Satisfaction Survey and Comment Card	IC Document

IC Title:

Benefits.gov Customer Satisfaction Survey and Comment Card

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Survey Questions	1225-0088 Benefits.gov Survey Questions (04-25-2016).docx	Yes	Yes	Fillable Fileable
Other-Invitation	1225-0088 Benefits_gov_Invitation_PRA Mock Up (04-25-2016).png	Yes	Yes	Printable Only
Other-Comment Card View	1225-0088 DOL_CommentCard_OMBcompliance (05-02-2016).png	Yes	Yes	Printable Only

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 9,600

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	9,600	9,600
Annual IC Time Burden (Hours)	360	360
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Supporting Statement: Benefits.gov Customer Satisfaction Survey and Comment Card	1225-0088 Generic_Clearance_Submission_Benefits gov_Final_Survey and Comment Card (05-05-2016).docx	05/05/2016

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.