Information Collection

ODPHP Website Visitor Satisfaction Site- and Page-Level Surveys

IC 229868 under ICR 201708-0990-001 · OMB 0990-0379.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0990-0379 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Attachment B Site-Level Survey Questions_2018-01-26.docx	Other-questionnaire
Attachment C Page-Level Survey Questions_2018-01-26.docx	Other-survey
Attachment D Screenshots_2018-01-26.docx	Other-screenshots
Generic Clearance Submission_ODPHP-Website-Surveys_2018-01-26.docx memo	IC Document
Attachment A Website Survey Protocol_2018-01-26.docx Surveys Protocol	IC Document

IC Title:

ODPHP Website Visitor Satisfaction Site- and Page-Level Surveys

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-questionnaire	Attachment B Site-Level Survey Questions_2018-01-26.docx	Yes	Yes	Fillable Printable
Other-survey	Attachment C Page-Level Survey Questions_2018-01-26.docx	Yes	No	Fillable Printable
Other-screenshots	Attachment D Screenshots_2018-01-26.docx	Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 132,000

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	132,000	132,000
Annual IC Time Burden (Hours)	4,600	4,600
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
memo	Generic Clearance Submission_ODPHP-Website-Surveys_2018-01-26.docx	01/26/2018
Surveys Protocol	Attachment A Website Survey Protocol_2018-01-26.docx	01/29/2018

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