Information Collection

Live Chat User Satisfaction Survey (NIDDK)

IC 246427 under ICR 202103-0925-003 · OMB 0925-0648.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0648 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Live Chat User Satisfaction Survey (NIDDK)	Form
1 Live Chat survey screenshot Live Chat User Satisfction Survey Screenshot v2.pdf	Form
1 Live Chat survey screenshot Live Chat User Satisfction Survey Screenshot v2.pdf	Form
Survey Request for Approval_Live Chat_v3 (1).docx fast track for Live Chat	IC Document
Survey Request for Approval_Live Chat_v3 (1).docx fast track for Live Chat	IC Document

IC Title:

Live Chat User Satisfaction Survey (NIDDK)

Agency IC Tracking Number:

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	1	Live Chat survey screenshot	Live Chat User Satisfction Survey Screenshot v2.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 4,236

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	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	4,236	4,236
Annual IC Time Burden (Hours)	141	141
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
fast track for Live Chat	Survey Request for Approval_Live Chat_v3 (1).docx	03/24/2021

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