Information Collection

Voice of Customer (VoC) Surveys for CBITT's Website

IC 228803 under ICR 201905-0925-001 · OMB 0925-0642.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0642 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Voice of Customer (VoC) Surveys for CBITT's Website	Form
1 CBIIT Survey Screenshots CBIIT Survey Screenshots.docx	Form
Fast Track VoC CBITT.docx Voice of the Customer (VoC) surveys for CBIIT's Website	IC Document

IC Title:

Voice of Customer (VoC) Surveys for CBITT's Website

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	1	CBIIT Survey Screenshots	CBIIT Survey Screenshots.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 500

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	500	500
Annual IC Time Burden (Hours)	42	42
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Voice of the Customer (VoC) surveys for CBIIT's Website	Fast Track VoC CBITT.docx	10/26/2017

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