Information Collection

NLM MedlinePlus Page Google Survey Satisfaction Rating

IC 225540 under ICR 201501-0925-004 · OMB 0925-0648.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0648 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 NLM MedlinePlus Page Google Survey Satisfaction Rating	Form and Instruction
1 NLM MedlinePlus Google Survey Instrument (screenshots) NLM MedlinePlus Google Survey Instrument (screenshots).pdf	Form and Instruction
Fast Track ICR Form_NLM MedlinePlus Page Google Survey.doc NLM MedlinePlus Page Google Survey Satisfaction Rating	IC Document

IC Title:

NLM MedlinePlus Page Google Survey Satisfaction Rating

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1	NLM MedlinePlus Google Survey Instrument (screenshots)	NLM MedlinePlus Google Survey Instrument (screenshots).pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,000	1,000
Annual IC Time Burden (Hours)	17	17
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
NLM MedlinePlus Page Google Survey Satisfaction Rating	Fast Track ICR Form_NLM MedlinePlus Page Google Survey.doc	02/01/2017

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