Information Collection

NCHS Website Users Customer Satisfaction Survey 2020-2022

IC 243179 under ICR 202006-0920-002 · OMB 0920-0729.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0729 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
NCHS Website Users Customer Satisfaction Survey 2020-2022	Form and Instruction
NCHS Website User Customer Satisfaction Survey Attachment A. NCHS Website User Customer Satisfaction Survey.docx	Form and Instruction
Sup St A 08132020 Web Survey.docx Supporting Statement Part A	IC Document
Sup St B 08132020 Web Survey.docx Supporting Statement Part B	IC Document

IC Title:

NCHS Website Users Customer Satisfaction Survey 2020-2022

Agency IC Tracking Number:

0920-20RE

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	n/a	NCHS Website User Customer Satisfaction Survey	Attachment A. NCHS Website User Customer Satisfaction Survey.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 3,000

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	3,000	3,000
Annual IC Time Burden (Hours)	500	500
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Supporting Statement Part A	Sup St A 08132020 Web Survey.docx	08/14/2020
Supporting Statement Part B	Sup St B 08132020 Web Survey.docx	08/14/2020

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