Mapping and Questionnaire Documents IA 30695 A2 (VA)

E-Government Website Customer Satisfaction Surveys

⚠️ Notice: This information collection may be referencing outdated material.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 30695 Mapping and Questionnaire Documents IA 30695 A2 (VA) Form and Instruction
30695 Q_VA_Web_Browse_20181107_DOT Q_VA_Web_Browse_20181107_DOT.xlsx Form and Instruction
30695 Q_VAVantageP_Web_Browse_20170329 Q_VAVantageP_Web_Browse_20170329.xlsx Form and Instruction
1090-0008 Survey Mapping Document (VA) IA 30695 A2.xlsx 1090-0008 Survey Mapping Document (VA) IA 30695 A2 IC Document
VA OMB Form 11.13.2018 IA 30695 A2.pdf VA OMB Form 11.13.2018 IA 30695 A2 IC Document

Information Collection (IC) Details

IC Title:	Mapping and Questionnaire Documents IA 30695 A2 (VA)	Agency IC Tracking Number:	30695 M2

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	30695	Q_VA_Web_Browse_20181107_DOT	Q_VA_Web_Browse_20181107_DOT.xlsx		Yes	Yes	Fillable Fileable
Form and Instruction	30695	Q_VAVantageP_Web_Browse_20170329	Q_VAVantageP_Web_Browse_20170329.xlsx		Yes	Yes	Fillable Fileable

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 Survey Mapping Document (VA) IA 30695 A2	1090-0008 Survey Mapping Document (VA) IA 30695 A2.xlsx	03/01/2019
VA OMB Form 11.13.2018 IA 30695 A2	VA OMB Form 11.13.2018 IA 30695 A2.pdf	03/01/2019

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