Information Collection

Insurance website CSS core survey

IC 192567 under ICR 201708-3206-002 · OMB 3206-0236.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3206-0236 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 0 Insurance website CSS core survey	Form and Instruction
0 Insurance Website Customer Satisfaction Survey PART Survey - Insurance Core Survey.doc	Form and Instruction
SSB for insurance survey.doc supporting statement B	IC Document

IC Title:

Insurance website CSS core survey

Agency IC Tracking Number:

IC Status: Unchanged

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	0	Insurance Website Customer Satisfaction Survey	PART Survey - Insurance Core Survey.doc		Yes	Yes	Fillable Printable

Line of Business: General Government

Subfunction: Central Personnel

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 30,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	30,000	30,000
Annual IC Time Burden (Hours)	1,500	1,500
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
supporting statement B	SSB for insurance survey.doc	04/14/2010

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