HHS.gov Website Feedback Survey II

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

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0990-0379 can be found here:

Documents and Forms

Document Name Document Type
0990-0379 Project H Website Feedback Survey 2 final for OMB 072815.docx Other-survey
0990-0379Generic Clearance Submission - HHS_dot_gov Website Feedback Survey II 07... (3).docx HHS.gov Website Feedback Survey II IC Document

Information Collection (IC) Details

IC Title:	HHS.gov Website Feedback Survey II	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-survey			0990-0379 Project H Website Feedback Survey 2 final for OMB 072815.docx		Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	2,000	2,000
Annual IC Time Burden (Hours)	500	500
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
HHS.gov Website Feedback Survey II	0990-0379Generic Clearance Submission - HHS_dot_gov Website Feedback Survey II 07... (3).docx	08/21/2015

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