Information Collection

Federal COVID Response (FCR) Website User Satisfaction (OD)

IC 247232 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⚠️ Notice: This information collection may be referencing outdated material.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 Federal COVID Response (FCR) Website User Satisfaction (OD)	Form
1 FCR Website User Satisfaction Survey Attachment 1 - Website User Satisfaction Survey (1).docx	Form
1 FCR Website User Satisfaction Survey Attachment 1 - Website User Satisfaction Survey (1).docx	Form
Fast Track Template FCR - Website User Satisfaction Survey - 043021 (1).docx Federal COVID Response (FCR) Website User Satisfaction	IC Document
Fast Track Template FCR - Website User Satisfaction Survey - 043021 (1).docx Federal COVID Response (FCR) Website User Satisfaction	IC Document

IC Title:

Federal COVID Response (FCR) Website User Satisfaction (OD)

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	FCR Website User Satisfaction Survey	Attachment 1 - Website User Satisfaction Survey (1).docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 50,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	50,000	50,000
Annual IC Time Burden (Hours)	1,667	1,667
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Federal COVID Response (FCR) Website User Satisfaction	Fast Track Template FCR - Website User Satisfaction Survey - 043021 (1).docx	05/06/2021

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