Mapping and Questionnaire Documents IA 30628 A4 (CMS)

E-Government Website Customer Satisfaction Surveys

OMB: 1090-0008

IC ID: 234986

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1090-0008 can be found here:

Documents and Forms

Document Name Document Type
Form 30628 Mapping and Questionnaire Documents IA 30628 A4 (CMS) Form and Instruction
30628 Q_CGSDMEB_Web_Browse_20180907_DOT Q_CGSDMEB_Web_Browse_20180907_DOT.xlsx Form and Instruction
30628 Q_CGSDMEC_Web_Browse_20180907_DOT Q_CGSDMEB_Web_Browse_20180907_DOT.xlsx Form and Instruction
30628 Q_CGSJ15_Web_Browse_20180907_DOT Q_CGSJ15_Web_Browse_20180907_DOT.xlsx Form and Instruction
30628 Q_CMS-FCSO_Web_Browse_20170214 Q_CMS-FCSO_Web_Browse_20170214.xlsx Form and Instruction
30628 Q_NGSJ6_Web_Browse_20180618_DOT Q_NGSJ6_Web_Browse_20180618_DOT.xlsx Form and Instruction
30628 Q_NGSJK_Web_Browse_20180618_DOT Q_NGSJK_Web_Browse_20180618_DOT.xlsx Form and Instruction
30628 Q_NordDmeJa_Web_Browse_20161227 Q_NordDmeJa_Web_Browse_20161227.xlsx Form and Instruction
30628 Q_NordJE_Web_Browse_20180418_DOT Q_NordJE_Web_Browse_20180418_DOT.xlsx Form and Instruction
30628 Q_NordJf_Web_Browse_20161227 Q_NordJf_Web_Browse_20161227.xlsx Form and Instruction
30628 Q_Novitas-JH_Web_Browse_20170221_DOT Q_Novitas-JH_Web_Browse_20170221_DOT.xlsx Form and Instruction
30628 Q_Novitas-JL_Web_Browse_20180124_DOT Q_Novitas-JL_Web_Browse_20180124_DOT.xlsx Form and Instruction
30628 Q_PalmettoGBA_JJ_Web_Browse_20180108_DOT Q_PalmettoGBA_JJ_Web_Browse_20180108_DOT.xlsx Form and Instruction
30628 Q_PalmettoGBA_Web_Browse_20170329 Q_PalmettoGBA_Web_Browse_20170329.xlsx Form and Instruction
30628 Q_WPSJ5_Web_Browse_20180202_DOT Q_WPSJ5_Web_Browse_20180202_DOT.xlsx Form and Instruction
30628 Q_WPSJ5_Web_Browse_20180202_DOT Q_WPSJ8_Web_Browse_20180212_DOT.xlsx Form and Instruction
1090-0008 Generic Clearance Request Form_CMS Survey_IA 30628 Amend 4.pdf 1090-0008 Generic Clearance Request Form_CMS Survey_IA 30628 Amend 4 IC Document
OMB Mapping 2018-2019 Survey (CMS) IA 30628 Amend 4.xlsx OMB Mapping 2018-2019 Survey (CMS) IA 30628 Amend 4 IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Mapping and Questionnaire Documents IA 30628 A4 (CMS)	Agency IC Tracking Number:	30628 M4

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	30628	Q_CGSDMEB_Web_Browse_20180907_DOT	Q_CGSDMEB_Web_Browse_20180907_DOT.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	30628	Q_CGSDMEC_Web_Browse_20180907_DOT	Q_CGSDMEB_Web_Browse_20180907_DOT.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	30628	Q_CGSJ15_Web_Browse_20180907_DOT	Q_CGSJ15_Web_Browse_20180907_DOT.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	30628	Q_CMS-FCSO_Web_Browse_20170214	Q_CMS-FCSO_Web_Browse_20170214.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	30628	Q_NGSJ6_Web_Browse_20180618_DOT	Q_NGSJ6_Web_Browse_20180618_DOT.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	30628	Q_NGSJK_Web_Browse_20180618_DOT	Q_NGSJK_Web_Browse_20180618_DOT.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	30628	Q_NordDmeJa_Web_Browse_20161227	Q_NordDmeJa_Web_Browse_20161227.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	30628	Q_NordJE_Web_Browse_20180418_DOT	Q_NordJE_Web_Browse_20180418_DOT.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	30628	Q_NordJf_Web_Browse_20161227	Q_NordJf_Web_Browse_20161227.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	30628	Q_Novitas-JH_Web_Browse_20170221_DOT	Q_Novitas-JH_Web_Browse_20170221_DOT.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	30628	Q_Novitas-JL_Web_Browse_20180124_DOT	Q_Novitas-JL_Web_Browse_20180124_DOT.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	30628	Q_PalmettoGBA_JJ_Web_Browse_20180108_DOT	Q_PalmettoGBA_JJ_Web_Browse_20180108_DOT.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	30628	Q_PalmettoGBA_Web_Browse_20170329	Q_PalmettoGBA_Web_Browse_20170329.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	30628	Q_WPSJ5_Web_Browse_20180202_DOT	Q_WPSJ5_Web_Browse_20180202_DOT.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	30628	Q_WPSJ5_Web_Browse_20180202_DOT	Q_WPSJ8_Web_Browse_20180212_DOT.xlsx	Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 3,600	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	3,600	3,600
Annual IC Time Burden (Hours)	150	150
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
1090-0008 Generic Clearance Request Form_CMS Survey_IA 30628 Amend 4	1090-0008 Generic Clearance Request Form_CMS Survey_IA 30628 Amend 4.pdf	02/19/2019
OMB Mapping 2018-2019 Survey (CMS) IA 30628 Amend 4	OMB Mapping 2018-2019 Survey (CMS) IA 30628 Amend 4.xlsx	02/19/2019

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