AIDS.gov and HIV.gov Website Customer Satisfaction Survey

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

AIDSgov_HIVgov Embedded Customer Satisfaction Survey_2016 (for OMB Review)

AIDS.gov and HIV.gov Website Customer Satisfaction Survey

OMB: 0990-0379

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Form Approved

OMB No. 0990-0379

Exp. Date 08/31/2017





AIDS.gov and HIV.gov Website Customer Satisfaction Survey

(to be embedded on select pages of AIDS.gov)




Was this page helpful?*

Shape1 Yes

Shape2 No


If Yes


I found this page helpful because the content on the page: (check all that apply)

Shape3 Had the information I needed

Shape4 Was trustworthy

Shape5 Was up-to-date

Shape6 Was written clearly

Shape7 Other: ________ (space for open response)




If No


I did not find this page helpful beause the content on the page: (check all that apply)

Shape8 Had too little information

Shape9 Had too much information

Shape10 Was confusing

Shape11 Was out-of-date

Shape12 Other __________(space for open response)

What can we do to improve this page?

(open response)







According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0990-0379. The time required to complete this information collection is estimated to average 5 minutes per response, including the time to review instructions, search existing data resources, gather the data needed, and complete and review the information collection. If you have comments concerning the accuracy of the time estimate(s) or suggestions for improving this form, please write to: U.S. Department of Health & Human Services, OS/OCIO/PRA, 200 Independence Ave., S.W., Suite 336-E, Washington D.C. 20201, Attention: PRA Reports Clearance Officer


File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorOskian Kouzouian
File Modified0000-00-00
File Created2021-01-25

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