Information Collection Request

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

ICR 201503-0990-001 · OMB 0990-0379 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
0990-0379 Change Request_DKC.doc Justification for No Material/Nonsubstantive Change Uploaded 2015-03-03 Available
0990-0379_B.docx Supporting Statement B Uploaded 2014-07-02 Available
0990-0379_Supporting Statement for Generic - HHS.docx Supporting Statement A Uploaded 2014-07-02 Available
Generic Clearance Submission Template.docx Supplementary Document Uploaded 2011-06-14 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
227775 Tree Testing the SAMHSA Store (https://store.samhsa.gov/) Other-survey New
227730 Grants.gov User Evaluation Survey Other-survey New
227468 HRSA/National Health Service Corps (NHSC) Information Architecture Validation Other-survey New
227449 Healthcare and Public Health Sector Site Assessment Risk Analysis' (SARA) Integrated Toolkit Feedback Form Other-survey New
227094 Healthcare Delivery Research Program (HRDP) Webinar Survey Other-survey New
227092 Division of Cancer Control and Population Services (DCCPS) Webinar Survey Other-survey New
226915 Healthcare and Public Health Sector Site Assessment Risk Analysis' (SARA) RIST-C Feedback Form Other-form New
226714 Office of the Assistant Secretary for Health (OASH) Region X External Customer Satisfaction Survey Other-survey New
226495 Senior Public Health Advisor Other-guidance New
226436 SurgeonGeneral.gov Site-wide Satisfaction Survey Other-survey New
226435 Usability.gov Site-wide Satisfaction Survey Other-survey New
226345 Be Tobacco Free.HHS.gov site Wide satisfaction Survey Other-survey New
226317 Vaccines.gov Site-wide Satisfaction Survey Other-survey New
226111 StopBullying.gov Site-wide Satisfaction Survey Other-survey New
225961 Pilot for Establishing Infrastructure for Publicly Released Research Data Other-survey New
225682 HHS.gov Site-wide Satisfaction Survey Other-survey New
225445 Healthcare and Public Health Sector Site Assessment Risk Analysis (SARA) Tool Pilot Activity Survey Form Other-survey New
225166 Region IX Office of the Regional Health Administrator (ORHA) External Customer Satisfaction Survey Other-survey New
224897 Survey of Research Integrity Officers (RIOs) Other-survey New
224890 Survey of RCR Coordinators Other-survey New
224201 MentalHealth.gov Site-wide Satisfaction Survey Other-survey New
223814 Usability testing of a new web portal Other-survey New
223255 Acquisition 360 Second Iteration Other-survey New
223000 Usability testing of a redesigned website Other-survey New
222750 Customer Satisfaction Telephone Survey and Telephone Interview for the Evaluation of the Office on Women's Health (OWH) Helpline/Call Center Other-interview New
221937 OWH Helpline Survey Other-survey New
221489 Vendor Management Intake Form Other-survey New
221482 AIDS.gov and HIV.gov Website Customer Satisfaction Survey Other-survey New
220473 HRSA/HIV/AIDS Bureau (HAB) Information Architecture Validation Other-study New
220347 Feedback on the Implementation of Evidence-Based Teen Pregnancy Prevention Programs Other-phone New
220173 HRSA/National Health Service Corps (NHSC) Jobs Center Satisfaction Survey Other-questions New
219844 HRSA/Maternal & Child Health Bureau (MCHB) Information Architecture Validation Other-survey New
219479 HHS Sites Search Satisfaction Survey Other- New
219245 HRSA/Maternal & Child Health Bureau (MCHB) Information Architecture Validation Other-survey New
218896 HHS.gov Newsroom User Evaluation Survey Other-survey New
218330 Medicalcountermeasures.gov customer site feedback form Other-survey New
217959 HHS.gov Website Feedback Survey (for MTurk distribution) Other-survey New
217958 HHS.gov Website Feedback Survey II Other-survey New
217761 Focus Group Participant Feedback Survey for HHS Region II Pilot Curriculum Other-Survey New
217374 Acquisition 360- Improving the Acquisition Process through Timely Feedback from External and Internal Stakeholders Other-survey New
216174 ODPHP Website Visitor Satisfaction Site-and Page-Level Surveys Other- New
216005 User Feedback of the Technical Resources Assistance Center Information Exchange (TRACIE) Website Other-survey New
215884 AiDS.gov Website Customer Satisfaction Other-survey New
215881 HHS.gov Website Satisfaction Survey Other-survey New
215153 Brand Awareness Survey/Delivery email list Other-survey Unchanged
215151 Regional Resource Network Program Questionnaire (RRNP) Other-questionnaire Unchanged
214245 User Satisfaction and Analytics Other-survey Unchanged
214038 Project H- Program Category TreeJack Survey _AB Other-survey Unchanged
212893 HHS.gov Email Marketing Survey Other- Unchanged

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
08/31/2017 08/31/2017 08/31/2017
3,000,000 0 1,000,000
500,000 0 67,000
0 0 0





Reginfo record details
49
table that charts list of burden
IC Title Form No. Form Name
AIDS.gov and HIV.gov Website Customer Satisfaction Survey
Acquisition 360 Second Iteration
Acquisition 360- Improving the Acquisition Process through Timely Feedback from External and Internal Stakeholders
AiDS.gov Website Customer Satisfaction
Be Tobacco Free.HHS.gov site Wide satisfaction Survey
Brand Awareness Survey/Delivery email list
Customer Satisfaction Telephone Survey and Telephone Interview for the Evaluation of the Office on Women's Health (OWH) Helpline/Call Center
Division of Cancer Control and Population Services (DCCPS) Webinar Survey
Feedback on the Implementation of Evidence-Based Teen Pregnancy Prevention Programs
Focus Group Participant Feedback Survey for HHS Region II Pilot Curriculum
Grants.gov User Evaluation Survey
HHS Sites Search Satisfaction Survey
HHS.gov Email Marketing Survey
HHS.gov Newsroom User Evaluation Survey
HHS.gov Site-wide Satisfaction Survey
HHS.gov Website Feedback Survey (for MTurk distribution)
HHS.gov Website Feedback Survey II
HHS.gov Website Satisfaction Survey
HRSA/HIV/AIDS Bureau (HAB) Information Architecture Validation
HRSA/Maternal & Child Health Bureau (MCHB) Information Architecture Validation
HRSA/Maternal & Child Health Bureau (MCHB) Information Architecture Validation
HRSA/National Health Service Corps (NHSC) Information Architecture Validation
HRSA/National Health Service Corps (NHSC) Jobs Center Satisfaction Survey
Healthcare Delivery Research Program (HRDP) Webinar Survey
Healthcare and Public Health Sector Site Assessment Risk Analysis (SARA) Tool Pilot Activity Survey Form
Healthcare and Public Health Sector Site Assessment Risk Analysis' (SARA) Integrated Toolkit Feedback Form
Healthcare and Public Health Sector Site Assessment Risk Analysis' (SARA) RIST-C Feedback Form
Medicalcountermeasures.gov customer site feedback form
MentalHealth.gov Site-wide Satisfaction Survey
ODPHP Website Visitor Satisfaction Site-and Page-Level Surveys
OWH Helpline Survey
Office of the Assistant Secretary for Health (OASH) Region X External Customer Satisfaction Survey
Pilot for Establishing Infrastructure for Publicly Released Research Data
Project H- Program Category TreeJack Survey _AB
Region IX Office of the Regional Health Administrator (ORHA) External Customer Satisfaction Survey
Regional Resource Network Program Questionnaire (RRNP)
Senior Public Health Advisor
StopBullying.gov Site-wide Satisfaction Survey
SurgeonGeneral.gov Site-wide Satisfaction Survey
Survey of RCR Coordinators
Survey of Research Integrity Officers (RIOs)
Tree Testing the SAMHSA Store (https://store.samhsa.gov/)
Usability testing of a new web portal
Usability testing of a redesigned website
Usability.gov Site-wide Satisfaction Survey
User Feedback of the Technical Resources Assistance Center Information Exchange (TRACIE) Website
User Satisfaction and Analytics
Vaccines.gov Site-wide Satisfaction Survey
Vendor Management Intake Form

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 3,000,000 1,000,000 0 2,000,000 0 0
Annual Time Burden (Hours) 500,000 67,000 0 433,000 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No