NCHS Website Users Customer Satisfaction Survey 2019

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⚠️ Notice: This information collection may be referencing outdated material.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

Information Collection (IC) Details

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:

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 %

	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
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.