Information Collection

NCHS Website Users Customer Satisfaction Survey 2019

IC 237233 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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
Document Name	Document Type
Form 0920-0729 NCHS Website Users Customer Satisfaction Survey 2019	Form and Instruction
0920-0729 Web User Survey Att A Web User Survey_080119.docx	Form and Instruction
Sup St A 080119.doc SSA	IC Document
Sup St B 080119.docx SSB	IC Document

IC Title:

NCHS Website Users Customer Satisfaction Survey 2019

Agency IC Tracking Number:

0920-0729-19BNE

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of 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 Web User Survey_080119.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 %

table that charts list of burden
	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

table that charts IC Documents
Title	Document	Date Uploaded
SSA	Sup St A 080119.doc	08/02/2019
SSB	Sup St B 080119.docx	08/02/2019

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