Information Collection

2019 028 Benefits.gov Webmonitor

IC 233396 under ICR 201805-1090-002 · OMB 1090-0007.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1090-0007 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 028-20320A1 2019 028 Benefits.gov Webmonitor	Form and Instruction
028-20320A1 Benefits.gov Webmonitor Benefits.gov - WebMonitor Questionniare FINAL_IA 20320.docx	Form and Instruction
1090-0007 Generic Clearance Request Form Benefits.gov Webmonitor_IA 20320 A1-.pdf 2019 028 Benefits.gov Webmonitor	IC Document
OMB Mapping Cover Benefits.gov Webmon Survey IA 20320 A1.xlsx 2019 028 Benefits.gov Webmonitor	IC Document

IC Title:

2019 028 Benefits.gov Webmonitor

Agency IC Tracking Number:

028

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	028-20320A1	Benefits.gov Webmonitor	Benefits.gov - WebMonitor Questionniare FINAL_IA 20320.docx		Yes	Yes	Fillable Printable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 250

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	250	250
Annual IC Time Burden (Hours)	50	50
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
2019 028 Benefits.gov Webmonitor	1090-0007 Generic Clearance Request Form Benefits.gov Webmonitor_IA 20320 A1-.pdf	10/03/2018
2019 028 Benefits.gov Webmonitor	OMB Mapping Cover Benefits.gov Webmon Survey IA 20320 A1.xlsx	10/03/2018

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