StopBullying.gov Site-wide Satisfaction Survey

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⚠️ Notice: This information collection may be referencing outdated material.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
SB.gov-Site-Wide-Satisfaction-Survey-updated.docx Other-survey
Generic Clearance Submission-StopBullying.gov Site-Wide Satisfaction Survey.docx Memo IC Document

Information Collection (IC) Details

IC Title:	StopBullying.gov Site-wide Satisfaction Survey	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			SB.gov-Site-Wide-Satisfaction-Survey-updated.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 35,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	35,000	35,000
Annual IC Time Burden (Hours)	2,917	2,917
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Memo	Generic Clearance Submission-StopBullying.gov Site-Wide Satisfaction Survey.docx	03/17/2017

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