Information Collection

NCHS Website Users Customer Satisfaction Survey

IC 213459 under ICR 201610-0920-002 · OMB 0920-0729.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0729 can be found here:

Documents and Forms

Document Name Document Type
NCHS Website Users Customer Satisfaction Survey Form and Instruction
NCHS Website User Customer Satisfaction Survey Questions Attachment A 092314.docx Form and Instruction
SSA 08OCT2014.doc Supporting Statement A IC Document
SSB 08OCT2014.docx Supporting Statement B IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	NCHS Website Users Customer Satisfaction Survey	Agency IC Tracking Number:	0920-0729-15AM

IC Status: Unchanged

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
Form and Instruction	None	NCHS Website User Customer Satisfaction Survey Questions	Attachment A 092314.docx	None	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,500	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Previously Approved
Annual Number of Responses for this IC	1,500	1,500
Annual IC Time Burden (Hours)	375	375
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Supporting Statement A	SSA 08OCT2014.doc	10/09/2014
Supporting Statement B	SSB 08OCT2014.docx	10/09/2014

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