Health, United States Website User 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⚠️ Notice: This information collection may be referencing outdated material.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
Form 0920-0729 Health, United States Website User Customer Satisfaction Survey Form and Instruction
0920-0729 Web User Survey Att A HUS Web User 040219.docx Form and Instruction
0920-0729 Web User Popup Survey Att B HUS Web User Survey 040119.docx Form and Instruction
HUS Sup St A 042219.docx SSA IC Document
HUS Sup St B 042219.docx SSB IC Document

Information Collection (IC) Details

IC Title:	Health, United States Website User Customer Satisfaction Survey	Agency IC Tracking Number:	0920-0729-19ASG

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	0920-0729	Web User Survey	Att A HUS Web User 040219.docx		Yes	Yes	Fillable Fileable
Form and Instruction	0920-0729	Web User Popup Survey	Att B HUS Web User Survey 040119.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 3,000	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	3,000	3,000
Annual IC Time Burden (Hours)	275	275
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
SSA	HUS Sup St A 042219.docx	04/29/2019
SSB	HUS Sup St B 042219.docx	04/29/2019

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