Information Collection

CTSU Website Customer Satisfaction Surveys

IC 226437 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⚠️ Notice: This information collection may be referencing outdated material.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 CTSU Website Customer Satisfaction Surveys	Form and Instruction
1 1 NCA Survey Attachment 1 NCA Survey.docx	Form and Instruction
1 2 General CTSU Website Survey Attachment 2 General CTSU Website Survey.docx	Form and Instruction
Fast Track CTSU (003).docx CTSU Website Customer Satisfaction Surveys	IC Document

IC Title:

CTSU Website Customer Satisfaction Surveys

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	1 NCA Survey	Attachment 1 NCA Survey.docx		Yes	Yes	Fillable Fileable
Form and Instruction	1	2 General CTSU Website Survey	Attachment 2 General CTSU Website Survey.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 600

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	600	600
Annual IC Time Burden (Hours)	100	100
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
CTSU Website Customer Satisfaction Surveys	Fast Track CTSU (003).docx	04/18/2017

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