E-Government Website Customer Satisfaction Surveys

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 32014 Feedback Sur 32014 Feedback Survey Mapping Doc, PBGC IA 32014, Multi-topic Feedback survey	Form and Instruction	New	Repair queued
Form IA32014 Feedback s IA32014 Feedback survey PBGC Spanish August 2021	Form and Instruction	New	Repair queued
Form IA32014 Feedback S IA32014 Feedback Survey Worker Retiree Draft 12AUG2021	Form and Instruction	New	Repair queued
Form IA32014 PBGC.gov m IA32014 PBGC.gov mobile draft 30NOV2020	Form and Instruction	New	Repair queued
Form IA32014 My PBA v2_ IA32014 My PBA v2_updated by Chris Feb 07 2022_DOT	Form and Instruction	New	Repair queued
Form IA32014 Feedback S IA32014 Feedback Survey COLA August 2021	Form and Instruction	New	Repair queued
Form IA32014 PBGCMyPAA_ IA32014 PBGCMyPAA_Web_Browse_updated by Chris Feb 04 2022_DOT	Form and Instruction	New	Repair queued
Form IA32013 FTC Compla IA32013 FTC ComplaintAssistant Web Browse_20201020_DOT	Form and Instruction	New	Repair queued
Form IA32013 FTC.gov mo IA32013 FTC.gov mobile Engagement survey	Form and Instruction	New	Repair queued
Form IA32013 FTC.gov Fe IA32013 FTC.gov Feedback Survey Mapping Doc	Form and Instruction	New	Repair queued
Form IA32013 FTC.gov de IA32013 FTC.gov desktop Engagement survey	Form and Instruction	New	Repair queued
Form IA32013 Feedback S IA32013 Feedback Survey Mapping Doc FTC IA 32013, Do Not Call Consumer Articles Feedback survey	Form and Instruction	New	Repair queued
Form IA32013 Feedback C IA32013 Feedback Clearance Mapping Doc - FTC IA#32013 Consumidor Feedback survey	Form and Instruction	New	Repair queued
Form IA30918 Feedback S IA30918 Feedback Survey Mapping Doc - CDC Advanced Search Feedback survey	Form and Instruction	New	Repair queued
Form IA30918 Feedback S IA30918 Feedback Survey Mapping Doc CDC Feedback survey - specific content pages	Form and Instruction	New	Repair queued
Form IA30918 Q_CDCCommG IA30918 Q_CDCCommGde_Web_Browse_20170807	Form and Instruction	New	Repair queued
Form IA30918 Q_CDCNPIN_ IA30918 Q_CDCNPIN_Mobile_Browse_20170807 (1)	Form and Instruction	New	Repair queued
Form IA30918 Q_CDCNPIN_ IA30918 Q_CDCNPIN_Web_Browse_20170807	Form and Instruction	New	Repair queued
Form IA30918 Q_CDC Web IA30918 Q_CDC Web Browse_updated by Michelle 3-31-2021_DOT	Form and Instruction	New	Repair queued
Form 30825 Q_NIDCR_Web_ 30825 Q_NIDCR_Web_Browse_updated by Shawn_05_05_2022	Form and Instruction	New	Repair queued
Form 30825 Q_NIDCR_Mobi 30825 Q_NIDCR_Mobile_Browse_ updated by Shawn_05-05-2022	Form and Instruction	New	Repair queued
Form 32013 Complaint As 32013 Complaint Assistant Feedback survey questions	Form and Instruction	New	Repair queued
Form 32013 Feedback Sur 32013 Feedback Survey Mapping Doc FTC IA#32013 Identity Theft Feedback survey	Form and Instruction	New	Repair queued
Form 30825 Q_NIDCR_Web_ 30825 Q_NIDCR_Web_Browse_updated_01042021_DOT	Form and Instruction	New	Repair queued
Form 30807 Q_NIH News i 30807 Q_NIH News in Health Survey_12-20-21_DOT	Form and Instruction	New	Repair queued
Form 30916 Q_NIDDK Mobi 30916 Q_NIDDK Mobile v2_updated 02-15-2022_DOT	Form and Instruction	New	Repair queued
Form 30813 Q_NHLBI_Brow 30813 Q_NHLBI_Browse V2_20211007_DOT	Form and Instruction	New	Repair queued
Form 32003 Q_USDA-NASS_ 32003 Q_USDA-NASS_Web_Browse_20180611_DOT	Form and Instruction	New	Repair queued
Form 32101 Feedback Sur 32101 Feedback Survey Mapping Doc Forest Service Mobile App Visitor Map Product Survey	Form and Instruction	New	Repair queued
Form 30923 ERS_Web_Brow 30923 ERS_Web_Browse_updated March 2022	Form and Instruction	New	Repair queued
Form 20807 US Mint Desk 20807 US Mint Desktop Survey 3-29-2022	Form and Instruction	New	Repair queued
Form 20807 US Mint Mobi 20807 US Mint Mobile Survey 3-29-2022	Form and Instruction	New	Repair queued
Form 32006 Q_NHTSAmain_ 32006 Q_NHTSAmain_Web_Browse_2020_Feb_18_DOT	Form and Instruction	New	Repair queued
Form 30919 OJP VehicleH 30919 OJP VehicleHistory BJA Rate This Page	Form and Instruction	New	Repair queued
Form 30919 OJP SMART Ra 30919 OJP SMART Rate This Page	Form and Instruction	New	Repair queued
Form 30919 OJP OVC Rate 30919 OJP OVC Rate This Page	Form and Instruction	New	Repair queued
Form 30919 OJP Operatio 30919 OJP Operational Lady Justice Rate This Page	Form and Instruction	New	Repair queued
Form 30919 OJP OJPNet R 30919 OJP OJPNet Rate This Page	Form and Instruction	New	Repair queued
Form 30919 OJP OJP Rate 30919 OJP OJP Rate This Page	Form and Instruction	New	Repair queued
Form 30919 OJP OJJDP Ra 30919 OJP OJJDP Rate This Page	Form and Instruction	New	Repair queued
Form 30919 OJP NIJ Rate 30919 OJP NIJ Rate This Page	Form and Instruction	New	Repair queued
Form 30919 OJP National 30919 OJP NationalGangCenter Website Feedback Survey	Form and Instruction	New	Repair queued
Form 30919 OJP NamUs We 30919 OJP NamUs Website Feedback Survey	Form and Instruction	New	Repair queued
Form 30919 OJP JusticeG 30919 OJP JusticeGrants Rate This Page	Form and Instruction	New	Repair queued
Form 30919 OJP JGII Tea 30919 OJP JGII Team Site	Form and Instruction	New	Repair queued
Form 30919 OJP Crime So 30919 OJP Crime Solutions Website Feedback Survey 3.10.22	Form and Instruction	New	Repair queued
Form 30919 OJP BJS.ojp. 30919 OJP BJS.ojp.gov Website Feedback Survey	Form and Instruction	New	Repair queued
Form 30919 OJP BJA Webs 30919 OJP BJA Website Feedback Survey	Form and Instruction	New	Repair queued
Form 32105 NIH-OAR HIVi 32105 NIH-OAR HIVinfo_Survey_Dec 2021	Form and Instruction	New	Repair queued
Form 32105 NIH-OAR Clin 32105 NIH-OAR ClinicalInfo_Survey_Dec 2021	Form and Instruction	New	Repair queued
Form 32011 Feedback Sur 32011 Feedback Survey - SBA 2021 Feedback survey	Form and Instruction	New	Repair queued
Form 30818 EPA Web Brow 30818 EPA Web Browse_20210628_DOT	Form and Instruction	New	Repair queued
Form 32013 FTC.gov Cons 32013 FTC.gov Consumer Mobile_updated by Michelle Dec 15 2021_DOT	Form and Instruction	New	Repair queued
Form 32013 FTC.gov Cons 32013 FTC.gov Consumer Desktop_updated by Michelle December 14 2021_DOT	Form and Instruction	New	Repair queued
Form 30724 Medicaid.gov 30724 Medicaid.gov Feedback Survey	Form and Instruction	New	Repair queued
Form 30724 Q_Medicaid.g 30724 Q_Medicaid.gov_updated by Michelle July 14 2020	Form and Instruction	New	Repair queued
Form 30724 CMS - Insure 30724 CMS - InsureKidsNow_20180910_DOT	Form and Instruction	New	Repair queued
Form 30689 Field Assist 30689 Field Assistance Taxpayer Experience Survey_Revised 1-20-22	Form and Instruction	New	Repair queued
Form 30689 US Treasury_ 30689 US Treasury_IRS_Direct Pay_10212021_DOT	Form and Instruction	New	Repair queued
Form 30689 Q_IRS Web Br 30689 Q_IRS Web Browse V4_20210611_DOT (1)	Form and Instruction	New	Repair queued
Form 30689 Q_IRS Web Br 30689 Q_IRS Web Browse Spanish_20210625_DOT (1)	Form and Instruction	New	Repair queued
Form 30689 Q_IRS Online 30689 Q_IRS Online Account Web Browse_V3_20200422_DOT	Form and Instruction	New	Repair queued
Form 30689 Q_IRS Mobile 30689 Q_IRS Mobile V5_12062021_DOT (1)	Form and Instruction	New	Repair queued
Form 30689 IRS Spanish 30689 IRS Spanish Mobile v5_10012021_DOT (1)	Form and Instruction	New	Repair queued
Form 30809 Q_ABMCv2_Web 30809 Q_ABMCv2_Web_Browse_20160411_DOT	Form and Instruction	New	Repair queued
Form 30723 Q_NRC_Web_Br 30723 Q_NRC_Web_Browse_2019-10-23_DOT	Form and Instruction	New	Repair queued
Form 30723 Q_NRC_Mobile 30723 Q_NRC_Mobile_20210319_DOT	Form and Instruction	New	Repair queued
Form 30838 Q_FBI_Web_Br 30838 Q_FBI_Web_Browse_20170206_DOT	Form and Instruction	New	Repair queued
Form 30689 EITC Foresee 30689 EITC Foresee survey questions 08182020	Form and Instruction	New	Repair queued
Form 30689 2020 TDC App 30689 2020 TDC Appeals Secure Messaging Survey vfinal2	Form and Instruction	New	Repair queued
Form 30689Copy of IRS F 30689Copy of IRS Free File survey	Form and Instruction	New	Repair queued
Form 30689TEOS Survey 2 30689TEOS Survey 2020-05-05 IRS	Form and Instruction	New	Repair queued
Form 20297 SEC Main Web 20297 SEC Main Web Browse_updated by Michelle Feb 02 2021_DOT	Form and Instruction	New	Repair queued
Form 20297 SEC Main Mob 20297 SEC Main Mobile_updated by Michelle_02022021_DOT	Form and Instruction	New	Repair queued
Form 30830 Copy of Q_US 30830 Copy of Q_USITC_02102021_DOT (1)	Form and Instruction	New	Repair queued
Form 20807 US Mint Mobi 20807 US Mint Mobile survey	Form and Instruction	New	Repair queued
Form 20807 US Mint Desk 20807 US Mint Desktop survey	Form and Instruction	New	Repair queued
Form 30736 NOAA Fisheri 30736 NOAA Fisheries Mobile Informational_2020_12_17	Form and Instruction	New	Repair queued
Form 30841 Q_DOS Main M 30841 Q_DOS Main Mobile_20210708_DOT	Form and Instruction	New	Repair queued
Form 30841 Q_DOS Main W 30841 Q_DOS Main Web Browse V3_20210610_DOT	Form and Instruction	New	Repair queued
Form 30739 Q_FEMA_NFIP_ 30739 Q_FEMA_NFIP_Adjuster Claims Process_20211005_DOT (1)	Form and Instruction	New	Repair queued
Form 30739 Q_FEMA NFIP_ 30739 Q_FEMA NFIP_Claim Examination_02072022_DOT	Form and Instruction	New	Repair queued
Form 30739 NFIP Claim A 30739 NFIP Claim Adjustment_10_05_2021_DOT	Form and Instruction	New	Repair queued
Form 30739 FEMA NFIP_Cl 30739 FEMA NFIP_Claim Start Functional 02_08_2022_DOT	Form and Instruction	New	Repair queued
Form 30908 SSA Mobile W 30908 SSA Mobile Wages Questionnaire 1-27-2022	Form and Instruction	New	Repair queued
Form 30807 Survey Chang 30807 Survey Change Draft-2.11.22	Form and Instruction	New	Repair queued
Form 30820 Q VAMyHealth 30820 Q VAMyHealtheVet Web Browse_1-5-2022 by Chris Nelson	Form and Instruction	New	Repair queued
Form 30820 Q VAMyHealth 30820 Q VAMyHealtheVet Mobile_1-5-2022 by Chris Nelson	Form and Instruction	New	Repair queued
Form 30802 DLA Web Brow 30802 DLA Web Browse_updated by Michelle Jan 18 2022	Form and Instruction	New	Repair queued
Form 32105 NIH-OAR HIVi 32105 NIH-OAR HIVinfo_Survey_Dec 2021	Form and Instruction	New	Repair queued
Form 32105 NIH-OAR Clin 32105 NIH-OAR ClinicalInfo_Survey_Dec 2021	Form and Instruction	New	Repair queued
Form 30807 NIH News in 30807 NIH News in Health Survey_12.14.21	Form and Instruction	New	Repair queued
Form 30919 30919 data.ojp.usdoj.gov Feedback	Form and Instruction	New	Repair queued
Form 30807 30807, Salud.NIH.gov Desktop survey	Form and Instruction	New	Repair queued
Form Webinars 30733 1090-0008 Feedback Survey Mapping Doc - Webinars	Form and Instruction	New	Available
Form Granicus 30733 1090-0008 Feedback Survey Mapping Doc - Granicus	Form and Instruction	New	Available
Form geodesy.noaa.gov 30733 1090-0008 Feedback Survey Mapping Doc - geodesy.noaa.gov	Form and Instruction	New	Available
Form geospatial summit 30733 1090-0008 Feedback Survey Mapping Doc - datums - geospatial summit	Form and Instruction	New	Available
Form Contact Us 30733 1090-0008 Feedback Survey Mapping Doc - Contact Us	Form and Instruction	New	Available
Form 30724 30724 2021 Medicaid.gov Feedback Survey	Form and Instruction	New	Available
Form 30715 30715 2021 Proposed-Revision_VHA_Medical_Centers_Questionnaire Nov_3_2021	Form and Instruction	New	Available
Form 3210 2021 32010 2021 DoDEA EAS Functional Desktop survey, updated by Michelle 11-3-2021	Form and Instruction	New	Available
1090-0008 60-day FRN 09212021 86FR52494.pdf	Supplementary Document	Uploaded 2021-09-21	Repair queued
SS_Part_A_1090-0008 09-13-21 Final.docx	Supporting Statement A	Uploaded 2021-09-14	Repair queued
SS_Part_B_for_1090-0008_09.13.21.docx	Supporting Statement B	Uploaded 2021-09-14	Repair queued
PUBLISHED 60 Day Notice 1090-0008 (86 FR 21762).pdf	Supplementary Document	Uploaded 2021-09-13	Repair queued
1090-0008 Survey Mapping Document.docx	Supplementary Document	Uploaded 2018-09-17	Repair queued
1090-0008 Generic Clearance Request Form 09132018.pdf	Supplementary Document	Uploaded 2018-09-13	Repair queued
Foresee Gov Web Model Template.xlsx	Supplementary Document	Uploaded 2015-02-26	Repair queued
The ForeSee CXA Methodology.pdf	Supplementary Document	Uploaded 2015-01-20	Repair queued
Executive Order 12862.htm	Supplementary Document	Uploaded 2008-09-25	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
254137	32014 Feedback Survey Mapping Doc, PBGC IA 32014, Multi-topic Feedback survey	Form and Instruction	New	32014 Feedback Survey Mapping Doc, PBGC IA 32014, Multi-topic Feedback survey
254136	IA32014 Feedback survey PBGC Spanish August 2021	Form and Instruction	New	IA32014 Feedback survey PBGC Spanish August 2021
254004	IA32014 Feedback Survey Worker Retiree Draft 12AUG2021	Form and Instruction	New	IA32014 Feedback Survey Worker Retiree Draft 12AUG2021
254003	IA32014 PBGC.gov mobile draft 30NOV2020	Form and Instruction	New	IA32014 PBGC.gov mobile draft 30NOV2020
254002	IA32014 My PBA v2_updated by Chris Feb 07 2022_DOT	Form and Instruction	New	IA32014 My PBA v2_updated by Chris Feb 07 2022_DOT
254001	IA32014 Feedback Survey COLA August 2021	Form and Instruction	New	IA32014 Feedback Survey COLA August 2021
254000	IA32014 PBGCMyPAA_Web_Browse_updated by Chris Feb 04 2022_DOT	Form and Instruction	New	IA32014 PBGCMyPAA_Web_Browse_updated by Chris Feb 04 2022_DOT
253998	IA32013 FTC ComplaintAssistant Web Browse_20201020_DOT	Form and Instruction	New	IA32013 FTC ComplaintAssistant Web Browse_20201020_DOT
253997	IA32013 FTC.gov mobile Engagement survey	Form and Instruction	New	IA32013 FTC.gov mobile Engagement survey
253996	IA32013 FTC.gov Feedback Survey Mapping Doc	Form and Instruction	New	IA32013 FTC.gov Feedback Survey Mapping Doc
253995	IA32013 FTC.gov desktop Engagement survey	Form and Instruction	New	IA32013 FTC.gov desktop Engagement survey
253994	IA32013 Feedback Survey Mapping Doc FTC IA 32013, Do Not Call Consumer Articles Feedback survey	Form and Instruction	New	IA32013 Feedback Survey Mapping Doc FTC IA 32013, Do Not Call Consumer Articles Feedback survey
253993	IA32013 Feedback Clearance Mapping Doc - FTC IA#32013 Consumidor Feedback survey	Form and Instruction	New	IA32013 Feedback Clearance Mapping Doc - FTC IA#32013 Consumidor Feedback survey
253992	IA30918 Feedback Survey Mapping Doc - CDC Advanced Search Feedback survey	Form and Instruction	New	IA30918 Feedback Survey Mapping Doc - CDC Advanced Search Feedback survey
253991	IA30918 Feedback Survey Mapping Doc CDC Feedback survey - specific content pages	Form and Instruction	New	IA30918 Feedback Survey Mapping Doc CDC Feedback survey - specific content pages
253990	IA30918 Q_CDCCommGde_Web_Browse_20170807	Form and Instruction	New	IA30918 Q_CDCCommGde_Web_Browse_20170807
253989	IA30918 Q_CDCNPIN_Mobile_Browse_20170807 (1)	Form and Instruction	New	IA30918 Q_CDCNPIN_Mobile_Browse_20170807 (1)
253988	IA30918 Q_CDCNPIN_Web_Browse_20170807	Form and Instruction	New	IA30918 Q_CDCNPIN_Web_Browse_20170807
253986	IA30918 Q_CDC Web Browse_updated by Michelle 3-31-2021_DOT	Form and Instruction	New	IA30918 Q_CDC Web Browse_updated by Michelle 3-31-2021_DOT
253928	30825 Q_NIDCR_Web_Browse_updated by Shawn_05_05_2022	Form and Instruction	New	30825 Q_NIDCR_Web_Browse_updated by Shawn_05_05_2022
253926	30825 Q_NIDCR_Mobile_Browse_ updated by Shawn_05-05-2022	Form and Instruction	New	30825 Q_NIDCR_Mobile_Browse_ updated by Shawn_05-05-2022
252848	32013 Complaint Assistant Feedback survey questions	Form and Instruction	New	32013 Complaint Assistant Feedback survey questions
252847	32013 Feedback Survey Mapping Doc FTC IA#32013 Identity Theft Feedback survey	Form and Instruction	New	32013 Feedback Survey Mapping Doc FTC IA#32013 Identity Theft Feedback survey
252846	30825 Q_NIDCR_Web_Browse_updated_01042021_DOT	Form and Instruction	New	30825 Q_NIDCR_Web_Browse_updated_01042021_DOT
252845	30807 Q_NIH News in Health Survey_12-20-21_DOT	Form and Instruction	New	30807 Q_NIH News in Health Survey_12-20-21_DOT
252843	30916 Q_NIDDK Mobile v2_updated 02-15-2022_DOT	Form and Instruction	New	30916 Q_NIDDK Mobile v2_updated 02-15-2022_DOT
252842	30813 Q_NHLBI_Browse V2_20211007_DOT	Form and Instruction	New	30813 Q_NHLBI_Browse V2_20211007_DOT
252841	32003 Q_USDA-NASS_Web_Browse_20180611_DOT	Form and Instruction	New	32003 Q_USDA-NASS_Web_Browse_20180611_DOT
252840	32101 Feedback Survey Mapping Doc Forest Service Mobile App Visitor Map Product Survey	Form and Instruction	New	32101 Feedback Survey Mapping Doc Forest Service Mobile App Visitor Map Product Survey
252839	30923 ERS_Web_Browse_updated March 2022	Form and Instruction	New	30923 ERS_Web_Browse_updated March 2022
252836	20807 US Mint Desktop Survey 3-29-2022	Form and Instruction	New	20807 US Mint Desktop Survey 3-29-2022
252834	20807 US Mint Mobile Survey 3-29-2022	Form and Instruction	New	20807 US Mint Mobile Survey 3-29-2022
252833	32006 Q_NHTSAmain_Web_Browse_2020_Feb_18_DOT	Form and Instruction	New	32006 Q_NHTSAmain_Web_Browse_2020_Feb_18_DOT
252486	30919 OJP VehicleHistory BJA Rate This Page	Form and Instruction	New	30919 OJP VehicleHistory BJA Rate This Page
252485	30919 OJP SMART Rate This Page	Form and Instruction	New	30919 OJP SMART Rate This Page
252484	30919 OJP OVC Rate This Page	Form and Instruction	New	30919 OJP OVC Rate This Page
252483	30919 OJP Operational Lady Justice Rate This Page	Form and Instruction	New	30919 OJP Operational Lady Justice Rate This Page
252482	30919 OJP OJPNet Rate This Page	Form and Instruction	New	30919 OJP OJPNet Rate This Page
252481	30919 OJP OJP Rate This Page	Form and Instruction	New	30919 OJP OJP Rate This Page
252480	30919 OJP OJJDP Rate This Page	Form and Instruction	New	30919 OJP OJJDP Rate This Page
252479	30919 OJP NIJ Rate This Page	Form and Instruction	New	30919 OJP NIJ Rate This Page
252478	30919 OJP NationalGangCenter Website Feedback Survey	Form and Instruction	New	30919 OJP NationalGangCenter Website Feedback Survey
252477	30919 OJP NamUs Website Feedback Survey	Form and Instruction	New	30919 OJP NamUs Website Feedback Survey
252474	30919 OJP JusticeGrants Rate This Page	Form and Instruction	New	30919 OJP JusticeGrants Rate This Page
252472	30919 OJP JGII Team Site	Form and Instruction	New	30919 OJP JGII Team Site
252471	30919 OJP Crime Solutions Website Feedback Survey 3.10.22	Form and Instruction	New	30919 OJP Crime Solutions Website Feedback Survey 3.10.22
252470	30919 OJP BJS.ojp.gov Website Feedback Survey	Form and Instruction	New	30919 OJP BJS.ojp.gov Website Feedback Survey
252469	30919 OJP BJA Website Feedback Survey	Form and Instruction	New	30919 OJP BJA Website Feedback Survey
252337	32105 NIH-OAR HIVinfo_Survey_Dec 2021	Form and Instruction	New	32105 NIH-OAR HIVinfo_Survey_Dec 2021
252336	32105 NIH-OAR ClinicalInfo_Survey_Dec 2021	Form and Instruction	New	32105 NIH-OAR ClinicalInfo_Survey_Dec 2021
252335	32011 Feedback Survey - SBA 2021 Feedback survey	Form and Instruction	New	32011 Feedback Survey - SBA 2021 Feedback survey
252334	30818 EPA Web Browse_20210628_DOT	Form and Instruction	New	30818 EPA Web Browse_20210628_DOT
252235	32013 FTC.gov Consumer Mobile_updated by Michelle Dec 15 2021_DOT	Form and Instruction	New	32013 FTC.gov Consumer Mobile_updated by Michelle Dec 15 2021_DOT
252234	32013 FTC.gov Consumer Desktop_updated by Michelle December 14 2021_DOT	Form and Instruction	New	32013 FTC.gov Consumer Desktop_updated by Michelle December 14 2021_DOT
252232	30724 Medicaid.gov Feedback Survey	Form and Instruction	New	30724 Medicaid.gov Feedback Survey
252231	30724 Q_Medicaid.gov_updated by Michelle July 14 2020	Form and Instruction	New	30724 Q_Medicaid.gov_updated by Michelle July 14 2020
252229	30724 CMS - InsureKidsNow_20180910_DOT	Form and Instruction	New	30724 CMS - InsureKidsNow_20180910_DOT
252228	30689 Field Assistance Taxpayer Experience Survey_Revised 1-20-22	Form and Instruction	New	30689 Field Assistance Taxpayer Experience Survey_Revised 1-20-22
252227	IRS OMB submissions - IA 30689	Form and Instruction	New	30689 US Treasury_IRS_Direct Pay_10212021_DOT
252227	IRS OMB submissions - IA 30689	Form and Instruction	New	30689 Q_IRS Web Browse V4_20210611_DOT (1)
252227	IRS OMB submissions - IA 30689	Form and Instruction	New	30689 Q_IRS Web Browse Spanish_20210625_DOT (1)
252227	IRS OMB submissions - IA 30689	Form and Instruction	New	30689 Q_IRS Online Account Web Browse_V3_20200422_DOT
252227	IRS OMB submissions - IA 30689	Form and Instruction	New	30689 Q_IRS Mobile V5_12062021_DOT (1)
252227	IRS OMB submissions - IA 30689	Form and Instruction	New	30689 IRS Spanish Mobile v5_10012021_DOT (1)
252159	30809 Q_ABMCv2_Web_Browse_20160411_DOT	Form and Instruction	New	30809 Q_ABMCv2_Web_Browse_20160411_DOT
252158	30723 Q_NRC_Web_Browse_2019-10-23_DOT	Form and Instruction	New	30723 Q_NRC_Web_Browse_2019-10-23_DOT
252157	30723 Q_NRC_Mobile_20210319_DOT	Form and Instruction	New	30723 Q_NRC_Mobile_20210319_DOT
252156	30838 Q_FBI_Web_Browse_20170206_DOT	Form and Instruction	New	30838 Q_FBI_Web_Browse_20170206_DOT
252155	30689 EITC Foresee survey questions 08182020	Form and Instruction	New	30689 EITC Foresee survey questions 08182020
252154	30689 2020 TDC Appeals Secure Messaging Survey vfinal2	Form and Instruction	New	30689 2020 TDC Appeals Secure Messaging Survey vfinal2
252153	30689Copy of IRS Free File survey	Form and Instruction	New	30689Copy of IRS Free File survey
252152	30689TEOS Survey 2020-05-05 IRS	Form and Instruction	New	30689TEOS Survey 2020-05-05 IRS
252149	20297 SEC Main Web Browse_updated by Michelle Feb 02 2021_DOT	Form and Instruction	New	20297 SEC Main Web Browse_updated by Michelle Feb 02 2021_DOT
252146	20297 SEC Main Mobile_updated by Michelle_02022021_DOT	Form and Instruction	New	20297 SEC Main Mobile_updated by Michelle_02022021_DOT
252114	30830 Copy of Q_USITC_02102021_DOT (1)	Form and Instruction	New	30830 Copy of Q_USITC_02102021_DOT (1)
252113	20807 US Mint Mobile survey	Form and Instruction	New	20807 US Mint Mobile survey
252112	20807 US Mint Desktop survey	Form and Instruction	New	20807 US Mint Desktop survey
252111	30736 NOAA Fisheries Mobile Informational_2020_12_17	Form and Instruction	New	30736 NOAA Fisheries Mobile Informational_2020_12_17
252108	30841 Q_DOS Main Mobile_20210708_DOT	Form and Instruction	New	30841 Q_DOS Main Mobile_20210708_DOT
252107	30841 Q_DOS Main Web Browse V3_20210610_DOT	Form and Instruction	New	30841 Q_DOS Main Web Browse V3_20210610_DOT
252029	30739 Q_FEMA_NFIP_Adjuster Claims Process_20211005_DOT (1)	Form and Instruction	New	30739 Q_FEMA_NFIP_Adjuster Claims Process_20211005_DOT (1)
252028	30739 Q_FEMA NFIP_Claim Examination_02072022_DOT	Form and Instruction	New	30739 Q_FEMA NFIP_Claim Examination_02072022_DOT
252026	30739 NFIP Claim Adjustment_10_05_2021_DOT	Form and Instruction	New	30739 NFIP Claim Adjustment_10_05_2021_DOT
252025	30739 FEMA NFIP_Claim Start Functional 02_08_2022_DOT	Form and Instruction	New	30739 FEMA NFIP_Claim Start Functional 02_08_2022_DOT
251583	30908 SSA Mobile Wages Questionnaire 1-27-2022	Form and Instruction	New	30908 SSA Mobile Wages Questionnaire 1-27-2022
251580	30807 Survey Change Draft-2.11.22	Form and Instruction	New	30807 Survey Change Draft-2.11.22
251351	30820 Q VAMyHealtheVet Web Browse_1-5-2022 by Chris Nelson	Form and Instruction	New	30820 Q VAMyHealtheVet Web Browse_1-5-2022 by Chris Nelson
251350	30820 Q VAMyHealtheVet Mobile_1-5-2022 by Chris Nelson	Form and Instruction	New	30820 Q VAMyHealtheVet Mobile_1-5-2022 by Chris Nelson
251343	30802 DLA Web Browse_updated by Michelle Jan 18 2022	Form and Instruction	New	30802 DLA Web Browse_updated by Michelle Jan 18 2022
250900	32105 NIH-OAR HIVinfo_Survey_Dec 2021	Form and Instruction	New	32105 NIH-OAR HIVinfo_Survey_Dec 2021
250899	32105 NIH-OAR ClinicalInfo_Survey_Dec 2021	Form and Instruction	New	32105 NIH-OAR ClinicalInfo_Survey_Dec 2021
250898	30807 NIH News in Health Survey_12.14.21	Form and Instruction	New	30807 NIH News in Health Survey_12.14.21
250636	30919 data.ojp.usdoj.gov Feedback	Form and Instruction	New	30919 data.ojp.usdoj.gov Feedback
250634	30807, Salud.NIH.gov Desktop survey	Form and Instruction	New	30807, Salud.NIH.gov Desktop survey
250406	30733 1090-0008 Feedback Survey Mapping Doc - Webinars	Form and Instruction	New	30733 1090-0008 Feedback Survey Mapping Doc - Webinars
250405	30733 1090-0008 Feedback Survey Mapping Doc - Granicus	Form and Instruction	New	30733 1090-0008 Feedback Survey Mapping Doc - Granicus
250404	30733 1090-0008 Feedback Survey Mapping Doc - geodesy.noaa.gov	Form and Instruction	New	30733 1090-0008 Feedback Survey Mapping Doc - geodesy.noaa.gov
250403	30733 1090-0008 Feedback Survey Mapping Doc - datums - geospatial summit	Form and Instruction	New	30733 1090-0008 Feedback Survey Mapping Doc - datums - geospatial summit
250402	30733 1090-0008 Feedback Survey Mapping Doc - Contact Us	Form and Instruction	New	30733 1090-0008 Feedback Survey Mapping Doc - Contact Us
250369	30724 2021 Medicaid.gov Feedback Survey	Form and Instruction	New	30724 2021 Medicaid.gov Feedback Survey
250368	30715 2021 Proposed-Revision_VHA_Medical_Centers_Questionnaire Nov_3_2021	Form and Instruction	New	30715 2021 Proposed-Revision_VHA_Medical_Centers_Questionnaire Nov_3_2021
250367	32010 2021 DoDEA EAS Functional Desktop survey, updated by Michelle 11-3-2021	Form and Instruction	New	32010 2021 DoDEA EAS Functional Desktop survey, updated by Michelle 11-3-2021

ICR Details

OMB Control No: 1090-0008	ICR Reference No: 202109-1090-002
Status: Historical Active	Previous ICR Reference No: 201805-1090-003
Agency/Subagency: DOI/ASPMB	Agency Tracking No: 1090-0008
Title: E-Government Website Customer Satisfaction Surveys
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 10/25/2021
Retrieve Notice of Action (NOA)	Date Received in OIRA: 09/21/2021
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2024	36 Months From Approved	10/31/2021
Responses	1,250,000	0	1,250,000
Time Burden (Hours)	60,417	0	52,083
Cost Burden (Dollars)	0	0	0

---

Abstract: This is a request for a three-year extension of the generic clearance to conduct customer satisfaction surveys for federal government websites. This was formerly known as the American Customer Satisfaction Index (ACSI) E-Government Website Customer Satisfaction Survey. The contractor that has provided the service for over a decade, ForeSee, is now using a derivative of the ACSI methodology called Customer Experience Analytics or CXA. This extension will allow for continued use of a data-driven and statistically valid approach to understanding customer satisfaction with agency websites, which are playing a strategic role of ever-increasing importance. The ultimate objective is to help agencies become more citizen-centric and achieve higher levels of citizen trust and confidence.

---

Authorizing Statute(s): None

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 21762	04/23/2021
30-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 52494	09/21/2021
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 97

table that charts list of burden

IC Title	Form No.	Form Name
20297 SEC Main Mobile_updated by Michelle_02022021_DOT	20297 SEC Main Mobile_updated by Michelle_02022021	20297 SEC Main Mobile_updated by Michelle_02022021_DOT
20297 SEC Main Web Browse_updated by Michelle Feb 02 2021_DOT	20297 SEC Main Web Browse_updated by Michelle Feb	20297 SEC Main Web Browse_updated by Michelle Feb 02 2021_DOT
20807 US Mint Desktop Survey 3-29-2022	20807 US Mint Desktop Survey 3-29-2022	20807 US Mint Desktop Survey 3-29-2022
20807 US Mint Desktop survey	20807 US Mint Desktop survey	20807 US Mint Desktop survey
20807 US Mint Mobile Survey 3-29-2022	20807 US Mint Mobile Survey 3-29-2022	20807 US Mint Mobile Survey 3-29-2022
20807 US Mint Mobile survey	20807 US Mint Mobile survey	20807 US Mint Mobile survey
30689 2020 TDC Appeals Secure Messaging Survey vfinal2	30689 2020 TDC Appeals Secure Messaging Survey vf	30689 2020 TDC Appeals Secure Messaging Survey vfinal2
30689 EITC Foresee survey questions 08182020	30689 EITC Foresee survey questions 08182020	30689 EITC Foresee survey questions 08182020
30689 Field Assistance Taxpayer Experience Survey_Revised 1-20-22	30689 Field Assistance Taxpayer Experience Survey_	30689 Field Assistance Taxpayer Experience Survey_Revised 1-20-22
30689Copy of IRS Free File survey	30689Copy of IRS Free File survey	30689Copy of IRS Free File survey
30689TEOS Survey 2020-05-05 IRS	30689TEOS Survey 2020-05-05 IRS	30689TEOS Survey 2020-05-05 IRS
30715 2021 Proposed-Revision_VHA_Medical_Centers_Questionnaire Nov_3_2021	30715	30715 2021 Proposed-Revision_VHA_Medical_Centers_Questionnaire Nov_3_2021
30723 Q_NRC_Mobile_20210319_DOT	30723 Q_NRC_Mobile_20210319_DOT	30723 Q_NRC_Mobile_20210319_DOT
30723 Q_NRC_Web_Browse_2019-10-23_DOT	30723 Q_NRC_Web_Browse_2019-10-23_DOT	30723 Q_NRC_Web_Browse_2019-10-23_DOT
30724 CMS - InsureKidsNow_20180910_DOT	30724 CMS - InsureKidsNow_20180910_DOT	30724 CMS - InsureKidsNow_20180910_DOT
30724 2021 Medicaid.gov Feedback Survey	30724	30724 2021 Medicaid.gov Feedback Survey
30724 Medicaid.gov Feedback Survey	30724 Medicaid.gov Feedback Survey	30724 Medicaid.gov Feedback Survey
30724 Q_Medicaid.gov_updated by Michelle July 14 2020	30724 Q_Medicaid.gov_updated by Michelle July 14 2	30724 Q_Medicaid.gov_updated by Michelle July 14 2020
30733 1090-0008 Feedback Survey Mapping Doc - Contact Us	Contact Us	30733 1090-0008 Feedback Survey Mapping Doc - Contact Us
30733 1090-0008 Feedback Survey Mapping Doc - Granicus	Granicus	30733 1090-0008 Feedback Survey Mapping Doc - Granicus
30733 1090-0008 Feedback Survey Mapping Doc - Webinars	Webinars	30733 1090-0008 Feedback Survey Mapping Doc - Webinars
30733 1090-0008 Feedback Survey Mapping Doc - datums - geospatial summit	geospatial summit	30733 1090-0008 Feedback Survey Mapping Doc - datums - geospatial summit
30733 1090-0008 Feedback Survey Mapping Doc - geodesy.noaa.gov	geodesy.noaa.gov	30733 1090-0008 Feedback Survey Mapping Doc - geodesy.noaa.gov
30736 NOAA Fisheries Mobile Informational_2020_12_17	30736 NOAA Fisheries Mobile Informational_2020_12_	30736 NOAA Fisheries Mobile Informational_2020_12_17
30739 FEMA NFIP_Claim Start Functional 02_08_2022_DOT	30739 FEMA NFIP_Claim Start Functional 02_08_2022_	30739 FEMA NFIP_Claim Start Functional 02_08_2022_DOT
30739 NFIP Claim Adjustment_10_05_2021_DOT	30739 NFIP Claim Adjustment_10_05_2021_DOT	30739 NFIP Claim Adjustment_10_05_2021_DOT
30739 Q_FEMA NFIP_Claim Examination_02072022_DOT	30739 Q_FEMA NFIP_Claim Examination_02072022_DOT	30739 Q_FEMA NFIP_Claim Examination_02072022_DOT
30739 Q_FEMA_NFIP_Adjuster Claims Process_20211005_DOT (1)	30739 Q_FEMA_NFIP_Adjuster Claims Process_20211005	30739 Q_FEMA_NFIP_Adjuster Claims Process_20211005_DOT (1)
30802 DLA Web Browse_updated by Michelle Jan 18 2022	30802 DLA Web Browse_updated by Michelle Jan 18 20	30802 DLA Web Browse_updated by Michelle Jan 18 2022
30807 Q_NIH News in Health Survey_12-20-21_DOT	30807 Q_NIH News in Health Survey_12-20-21_DOT	30807 Q_NIH News in Health Survey_12-20-21_DOT
30807 NIH News in Health Survey_12.14.21	30807 NIH News in Health Survey_12.14.21	30807 NIH News in Health Survey_12.14.21
30807 Survey Change Draft-2.11.22	30807 Survey Change Draft-2.11.22	30807 Survey Change Draft-2.11.22
30807, Salud.NIH.gov Desktop survey	30807	30807, Salud.NIH.gov Desktop survey
30809 Q_ABMCv2_Web_Browse_20160411_DOT	30809 Q_ABMCv2_Web_Browse_20160411_DOT	30809 Q_ABMCv2_Web_Browse_20160411_DOT
30813 Q_NHLBI_Browse V2_20211007_DOT	30813 Q_NHLBI_Browse V2_20211007_DOT	30813 Q_NHLBI_Browse V2_20211007_DOT
30818 EPA Web Browse_20210628_DOT	30818 EPA Web Browse_20210628_DOT	30818 EPA Web Browse_20210628_DOT
30820 Q VAMyHealtheVet Mobile_1-5-2022 by Chris Nelson	30820 Q VAMyHealtheVet Mobile_1-5-2022 by Chris Ne	30820 Q VAMyHealtheVet Mobile_1-5-2022 by Chris Nelson
30820 Q VAMyHealtheVet Web Browse_1-5-2022 by Chris Nelson	30820 Q VAMyHealtheVet Web Browse_1-5-2022 by Chri	30820 Q VAMyHealtheVet Web Browse_1-5-2022 by Chris Nelson
30825 Q_NIDCR_Web_Browse_updated_01042021_DOT	30825 Q_NIDCR_Web_Browse_updated_01042021_DOT	30825 Q_NIDCR_Web_Browse_updated_01042021_DOT
30825 Q_NIDCR_Mobile_Browse_ updated by Shawn_05-05-2022	30825 Q_NIDCR_Mobile_Browse_ updated by Shawn_05-0	30825 Q_NIDCR_Mobile_Browse_ updated by Shawn_05-05-2022
30825 Q_NIDCR_Web_Browse_updated by Shawn_05_05_2022	30825 Q_NIDCR_Web_Browse_updated by Shawn_05_05_20	30825 Q_NIDCR_Web_Browse_updated by Shawn_05_05_2022
30830 Copy of Q_USITC_02102021_DOT (1)	30830 Copy of Q_USITC_02102021_DOT (1)	30830 Copy of Q_USITC_02102021_DOT (1)
30838 Q_FBI_Web_Browse_20170206_DOT	30838 Q_FBI_Web_Browse_20170206_DOT	30838 Q_FBI_Web_Browse_20170206_DOT
30841 Q_DOS Main Mobile_20210708_DOT	30841 Q_DOS Main Mobile_20210708_DOT	30841 Q_DOS Main Mobile_20210708_DOT
30841 Q_DOS Main Web Browse V3_20210610_DOT	30841 Q_DOS Main Web Browse V3_20210610_DOT	30841 Q_DOS Main Web Browse V3_20210610_DOT
30908 SSA Mobile Wages Questionnaire 1-27-2022	30908 SSA Mobile Wages Questionnaire 1-27-2022	30908 SSA Mobile Wages Questionnaire 1-27-2022
30916 Q_NIDDK Mobile v2_updated 02-15-2022_DOT	30916 Q_NIDDK Mobile v2_updated 02-15-2022_DOT	30916 Q_NIDDK Mobile v2_updated 02-15-2022_DOT
30919 OJP BJA Website Feedback Survey	30919 OJP BJA Website Feedback Survey	30919 OJP BJA Website Feedback Survey
30919 OJP BJS.ojp.gov Website Feedback Survey	30919 OJP BJS.ojp.gov Website Feedback Survey	30919 OJP BJS.ojp.gov Website Feedback Survey
30919 OJP Crime Solutions Website Feedback Survey 3.10.22	30919 OJP Crime Solutions Website Feedback Survey	30919 OJP Crime Solutions Website Feedback Survey 3.10.22
30919 OJP JGII Team Site	30919 OJP JGII Team Site	30919 OJP JGII Team Site
30919 OJP JusticeGrants Rate This Page	30919 OJP JusticeGrants Rate This Page	30919 OJP JusticeGrants Rate This Page
30919 OJP NIJ Rate This Page	30919 OJP NIJ Rate This Page	30919 OJP NIJ Rate This Page
30919 OJP NamUs Website Feedback Survey	30919 OJP NamUs Website Feedback Survey	30919 OJP NamUs Website Feedback Survey
30919 OJP NationalGangCenter Website Feedback Survey	30919 OJP NationalGangCenter Website Feedback Surv	30919 OJP NationalGangCenter Website Feedback Survey
30919 OJP OJJDP Rate This Page	30919 OJP OJJDP Rate This Page	30919 OJP OJJDP Rate This Page
30919 OJP OJP Rate This Page	30919 OJP OJP Rate This Page	30919 OJP OJP Rate This Page
30919 OJP OJPNet Rate This Page	30919 OJP OJPNet Rate This Page	30919 OJP OJPNet Rate This Page
30919 OJP OVC Rate This Page	30919 OJP OVC Rate This Page	30919 OJP OVC Rate This Page
30919 OJP Operational Lady Justice Rate This Page	30919 OJP Operational Lady Justice Rate This Page	30919 OJP Operational Lady Justice Rate This Page
30919 OJP SMART Rate This Page	30919 OJP SMART Rate This Page	30919 OJP SMART Rate This Page
30919 OJP VehicleHistory BJA Rate This Page	30919 OJP VehicleHistory BJA Rate This Page	30919 OJP VehicleHistory BJA Rate This Page
30919 data.ojp.usdoj.gov Feedback	30919	30919 data.ojp.usdoj.gov Feedback
30923 ERS_Web_Browse_updated March 2022	30923 ERS_Web_Browse_updated March 2022	30923 ERS_Web_Browse_updated March 2022
32003 Q_USDA-NASS_Web_Browse_20180611_DOT	32003 Q_USDA-NASS_Web_Browse_20180611_DOT	32003 Q_USDA-NASS_Web_Browse_20180611_DOT
32006 Q_NHTSAmain_Web_Browse_2020_Feb_18_DOT	32006 Q_NHTSAmain_Web_Browse_2020_Feb_18_DOT	32006 Q_NHTSAmain_Web_Browse_2020_Feb_18_DOT
32010 2021 DoDEA EAS Functional Desktop survey, updated by Michelle 11-3-2021	3210 2021	32010 2021 DoDEA EAS Functional Desktop survey, updated by Michelle 11-3-2021
32011 Feedback Survey - SBA 2021 Feedback survey	32011 Feedback Survey - SBA 2021 Feedback survey	32011 Feedback Survey - SBA 2021 Feedback survey
32013 Feedback Survey Mapping Doc FTC IA#32013 Identity Theft Feedback survey	32013 Feedback Survey Mapping Doc FTC IA#32013 Id	32013 Feedback Survey Mapping Doc FTC IA#32013 Identity Theft Feedback survey
32013 Complaint Assistant Feedback survey questions	32013 Complaint Assistant Feedback survey question	32013 Complaint Assistant Feedback survey questions
32013 FTC.gov Consumer Desktop_updated by Michelle December 14 2021_DOT	32013 FTC.gov Consumer Desktop_updated by Michelle	32013 FTC.gov Consumer Desktop_updated by Michelle December 14 2021_DOT
32013 FTC.gov Consumer Mobile_updated by Michelle Dec 15 2021_DOT	32013 FTC.gov Consumer Mobile_updated by Michelle	32013 FTC.gov Consumer Mobile_updated by Michelle Dec 15 2021_DOT
32014 Feedback Survey Mapping Doc, PBGC IA 32014, Multi-topic Feedback survey	32014 Feedback Survey Mapping Doc, PBGC IA 32014,	32014 Feedback Survey Mapping Doc, PBGC IA 32014, Multi-topic Feedback survey
32101 Feedback Survey Mapping Doc Forest Service Mobile App Visitor Map Product Survey	32101 Feedback Survey Mapping Doc Forest Service M	32101 Feedback Survey Mapping Doc Forest Service Mobile App Visitor Map Product Survey
32105 NIH-OAR HIVinfo_Survey_Dec 2021	32105 NIH-OAR HIVinfo_Survey_Dec 2021	32105 NIH-OAR HIVinfo_Survey_Dec 2021
32105 NIH-OAR ClinicalInfo_Survey_Dec 2021	32105 NIH-OAR ClinicalInfo_Survey_Dec 2021	32105 NIH-OAR ClinicalInfo_Survey_Dec 2021
32105 NIH-OAR ClinicalInfo_Survey_Dec 2021	32105 NIH-OAR ClinicalInfo_Survey_Dec 2021	32105 NIH-OAR ClinicalInfo_Survey_Dec 2021
32105 NIH-OAR HIVinfo_Survey_Dec 2021	32105 NIH-OAR HIVinfo_Survey_Dec 2021	32105 NIH-OAR HIVinfo_Survey_Dec 2021
IA30918 Q_CDC Web Browse_updated by Michelle 3-31-2021_DOT	IA30918 Q_CDC Web Browse_updated by Michelle 3-31	IA30918 Q_CDC Web Browse_updated by Michelle 3-31-2021_DOT
IA30918 Feedback Survey Mapping Doc - CDC Advanced Search Feedback survey	IA30918 Feedback Survey Mapping Doc - CDC Advanced	IA30918 Feedback Survey Mapping Doc - CDC Advanced Search Feedback survey
IA30918 Feedback Survey Mapping Doc CDC Feedback survey - specific content pages	IA30918 Feedback Survey Mapping Doc CDC Feedback s	IA30918 Feedback Survey Mapping Doc CDC Feedback survey - specific content pages
IA30918 Q_CDCCommGde_Web_Browse_20170807	IA30918 Q_CDCCommGde_Web_Browse_20170807	IA30918 Q_CDCCommGde_Web_Browse_20170807
IA30918 Q_CDCNPIN_Mobile_Browse_20170807 (1)	IA30918 Q_CDCNPIN_Mobile_Browse_20170807 (1)	IA30918 Q_CDCNPIN_Mobile_Browse_20170807 (1)
IA30918 Q_CDCNPIN_Web_Browse_20170807	IA30918 Q_CDCNPIN_Web_Browse_20170807	IA30918 Q_CDCNPIN_Web_Browse_20170807
IA32013 FTC.gov Feedback Survey Mapping Doc	IA32013 FTC.gov Feedback Survey Mapping Doc	IA32013 FTC.gov Feedback Survey Mapping Doc
IA32013 FTC.gov desktop Engagement survey	IA32013 FTC.gov desktop Engagement survey	IA32013 FTC.gov desktop Engagement survey
IA32013 Feedback Clearance Mapping Doc - FTC IA#32013 Consumidor Feedback survey	IA32013 Feedback Clearance Mapping Doc - FTC IA#3	IA32013 Feedback Clearance Mapping Doc - FTC IA#32013 Consumidor Feedback survey
IA32013 Feedback Survey Mapping Doc FTC IA 32013, Do Not Call Consumer Articles Feedback survey	IA32013 Feedback Survey Mapping Doc FTC IA 32013,	IA32013 Feedback Survey Mapping Doc FTC IA 32013, Do Not Call Consumer Articles Feedback survey
IA32013 FTC ComplaintAssistant Web Browse_20201020_DOT	IA32013 FTC ComplaintAssistant Web Browse_20201020	IA32013 FTC ComplaintAssistant Web Browse_20201020_DOT
IA32013 FTC.gov mobile Engagement survey	IA32013 FTC.gov mobile Engagement survey	IA32013 FTC.gov mobile Engagement survey
IA32014 Feedback Survey COLA August 2021	IA32014 Feedback Survey COLA August 2021	IA32014 Feedback Survey COLA August 2021
IA32014 Feedback survey PBGC Spanish August 2021	IA32014 Feedback survey PBGC Spanish August 2021	IA32014 Feedback survey PBGC Spanish August 2021
IA32014 Feedback Survey Worker Retiree Draft 12AUG2021	IA32014 Feedback Survey Worker Retiree Draft 12AUG	IA32014 Feedback Survey Worker Retiree Draft 12AUG2021
IA32014 My PBA v2_updated by Chris Feb 07 2022_DOT	IA32014 My PBA v2_updated by Chris Feb 07 2022_DOT	IA32014 My PBA v2_updated by Chris Feb 07 2022_DOT
IA32014 PBGC.gov mobile draft 30NOV2020	IA32014 PBGC.gov mobile draft 30NOV2020	IA32014 PBGC.gov mobile draft 30NOV2020
IA32014 PBGCMyPAA_Web_Browse_updated by Chris Feb 04 2022_DOT	IA32014 PBGCMyPAA_Web_Browse_updated by Chris Feb	IA32014 PBGCMyPAA_Web_Browse_updated by Chris Feb 04 2022_DOT
IRS OMB submissions - IA 30689	30689 Q_IRS Mobile V5_12062021_DOT (1), 30689 Q_IRS Online Account Web Browse_V3_20200422_, 30689 IRS Spanish Mobile v5_10012021_DOT (1), 30689 Q_IRS Web Browse Spanish_20210625_DOT (1), 30689 Q_IRS Web Browse V4_20210611_DOT (1), 30689 US Treasury_IRS_Direct Pay_10212021_DOT	30689 IRS Spanish Mobile v5_10012021_DOT (1) ,   30689 Q_IRS Mobile V5_12062021_DOT (1) ,   30689 Q_IRS Online Account Web Browse_V3_20200422_DOT ,   30689 Q_IRS Web Browse Spanish_20210625_DOT (1) ,   30689 Q_IRS Web Browse V4_20210611_DOT (1) ,   30689 US Treasury_IRS_Direct Pay_10212021_DOT

---

ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	1,250,000	1,250,000	0	0	0	0
Annual Time Burden (Hours)	60,417	52,083	0	0	8,334	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

---

Annual Cost to Federal Government: $8,341,920

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

---

Common Form ICR:  No

---

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 09/21/2021

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