2019 028 Benefits.gov Webmonitor

American Customer Satisfaction Index "Customer Satisfaction Surveys"

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

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

Information Collection (IC) Details

IC Title:	2019 028 Benefits.gov Webmonitor	Agency IC Tracking Number:	028

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	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 %

	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

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.