NCHS Website Users Customer Satisfaction Survey

Customer Surveys Generic Clearance for the National Center for Health Statistics

⚠️ Notice: This information collection may be referencing outdated material.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
Web User Survey Att B Web User Survey_2016 081716.docx Form
Sup St B 072716.docx Supporting Statement B IC Document
Sup St A 081716.doc Supporting Statement A IC Document
Att A Web User Survey_2016 with changes 081716.docx Survey with track changes IC Document

Information Collection (IC) Details

IC Title:	NCHS Website Users Customer Satisfaction Survey	Agency IC Tracking Number:	16BAG

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	none	Web User Survey	Att B Web User Survey_2016 081716.docx		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)	250	250
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Supporting Statement B	Sup St B 072716.docx	08/17/2016
Supporting Statement A	Sup St A 081716.doc	08/17/2016
Survey with track changes	Att A Web User Survey_2016 with changes 081716.docx	08/17/2016

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