Website Evaluation 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⚠️ Notice: This information collection may be referencing outdated material.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 3136-0140 can be found here:

Documents and Forms

Document Name Document Type
NEH Website Evaluation Form.pdf Other-Customer Satisfaction Survey
Request for Fast-Track Approval (NEH Website Evaluation Survey).pdf Request for Fast-Track Approval (NEH Website Evaluation Survey) IC Document

Information Collection (IC) Details

IC Title:	Website Evaluation 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-Customer Satisfaction Survey			NEH Website Evaluation Form.pdf	N/A	Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 20	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	20	20
Annual IC Time Burden (Hours)	20	20
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Request for Fast-Track Approval (NEH Website Evaluation Survey)	Request for Fast-Track Approval (NEH Website Evaluation Survey).pdf	12/22/2017

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