Information Collection

Website Survey for Website Satisfaction Rating (NIA)

IC 243052 under ICR 202104-0925-001 · 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⚠️ Notice: This information collection may be referencing outdated material.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 Website Survey for Website Satisfaction Rating (NIA)	Form and Instruction
1 NIA Site Survey Setup NIA Site Survey Setup for OMB Review (1).docx	Form and Instruction
1 NIA Site Survey Setup NIA Site Survey Setup for OMB Review (1).docx	Form and Instruction
NIA Website_generic_clearance_template2.docx fast track NIA website survey	IC Document
NIA Website_generic_clearance_template2.docx fast track NIA website survey	IC Document
Copy of NIA Links for Survey (1).xlsx Copy of NIA Link tfor survey	IC Document
Copy of NIA Links for Survey (1).xlsx Copy of NIA Link tfor survey	IC Document

IC Title:

Website Survey for Website Satisfaction Rating (NIA)

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 and Instruction	1	NIA Site Survey Setup	NIA Site Survey Setup for OMB Review (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: 20,000

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	Previously Approved
Annual Number of Responses for this IC	20,000	20,000
Annual IC Time Burden (Hours)	667	667
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
fast track NIA website survey	NIA Website_generic_clearance_template2.docx	08/06/2020
Copy of NIA Link tfor survey	Copy of NIA Links for Survey (1).xlsx	08/06/2020

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