Form Approved
OMB No. 0990-0379
Exp. Date XX/XX/20XX
Web-Based Pop-Up Survey of Redesigned Website: ACLDATA.ACL.GOV
Is this the first time you have visited ACLDATA.ACL.GOV?
Yes
No
Why are you visiting this site today?
Work
School
Just browsing
Other
Did you find what you were looking for?
Yes
No
Don’t know
Has it been easy to navigate through ACLDATA.ACL.GOV?
Yes
No
Don’t know
How likely are you to recommend ACLDATA.ACL.GOV to a friend or colleague?
Very likely
Somewhat likely
Somewhat unlikely
Very unlikely
Don’t know
How likely are you to come back to ACLDATA.ACL.GOV in the future?
Very likely
Somewhat likely
Somewhat unlikely
Very unlikely
Don’t know
Prior to using ACLDATA.ACL.GOV, had you visited ACL’s previous data site AGID.ACL.GOV?
No, I never visited AGID.ACL.GOV
1-2 times
3-10 times
More than 10 times
Don’t know
Thank you!
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:
Administration for Community Living, 330 C ST, S.W., Room 1235B,
Washington D.C. 20201, Attention: Office of Performance and
Evaluation.
File Type | application/msword |
File Title | Form Approved |
Author | DHHS |
Last Modified By | Windows User |
File Modified | 2016-08-12 |
File Created | 2016-08-12 |