Website Usability Testing Customer Feedback. DVP

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

Documents and Forms

Document Name Document Type
Form 0920- 17AV Website Usability Testing Customer Feedback. DVP Form and Instruction
0920- 17AV Attachment 2 Survey Attachment 2 Survey.docx Form and Instruction
0920-1009 17BAV Attachment 3. Survey Screen Shots Attachment 3. Survey Screen Shots.docx Form and Instruction
GenIC Request_DVP Webpages Usability Testing _090717Clean.docx GenIC Request_DVP Webpages Usability Testing _090717Clean IC Document

Information Collection (IC) Details

IC Title:	Website Usability Testing Customer Feedback. DVP	Agency IC Tracking Number:	0920-17BAV

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
Form and Instruction	0920- 17AV	Attachment 2 Survey	Attachment 2 Survey.docx		Yes	Yes	Fillable Fileable
Form and Instruction	0920-1009 17BAV	Attachment 3. Survey Screen Shots	Attachment 3. Survey Screen Shots.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 80	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	80	80
Annual IC Time Burden (Hours)	80	80
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
GenIC Request_DVP Webpages Usability Testing _090717Clean	GenIC Request_DVP Webpages Usability Testing _090717Clean.docx	09/07/2017

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