Information Collection

NCHS Website Users Customer Satisfaction Survey

IC 228396 under ICR 201707-0920-009 · 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⚠️ Notice: This information collection may be referencing outdated material.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
NCHS Users' Survey Att A Web Users Survey 2017.pdf Form
Sup St A 091317.doc Supporting Statement A IC Document
Sup St B 091317.doc.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:	0920-0729-17BCC

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	none	NCHS Users' Survey	Att A Web Users Survey 2017.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title: Users of Health Statistics	FR Citation: 51 FR 42371

Number of Respondents: 1,500	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	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 A	Sup St A 091317.doc	09/20/2017
Supporting Statement B	Sup St B 091317.doc.docx	09/20/2017

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