Information Collection

HHS Sites Search Satisfaction Survey

IC 219479 under ICR 201503-0990-001 · OMB 0990-0379.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
0990-0379HHS Site Search Satisfaction Survey.docx	Other-null
0990-0379 Generic Clearance Submission - HHS Site Search Survey.docx HHS Sites Search Satisfaction Survey	IC Document

IC Title:

HHS Sites Search Satisfaction Survey

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
Other-null			0990-0379HHS Site Search Satisfaction Survey.docx		Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 38,400

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	38,400	38,400
Annual IC Time Burden (Hours)	1,280	1,280
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
HHS Sites Search Satisfaction Survey	0990-0379 Generic Clearance Submission - HHS Site Search Survey.docx	01/05/2016

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