Information Collection

Generic Clearance for the Collection of Routine Customer Feedback" ODPHP Online Customer Surveys

IC 255940 under ICR 202206-0990-003 · OMB 0990-0379.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0990-0379 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Attachment C_ODPHP Page-Level Survey Question Bank_2022.07.22.docx	Other-ODPHP Website Screener
Attachment A_ODPHP Website Site-and Page-Level Surveys Protocol 2022.07.12.docx	Other-Website site and page level su
Attachment B_ODPHP Site-Level Survey Question Bank_2022.07.22.docx	Other-Site level Question Bank
Attachment D_ODPHP Website Surveys Screenshots_2022.07.12.docx	Other-ODPHP Web Survey Screenshots
MEMO_FastTrack Generic Clearance Submission_ODPHP-Website-Surveys_2022.09.20.docx ODPHP Website Survey Memo	IC Document

IC Title:

Generic Clearance for the Collection of Routine Customer Feedback" ODPHP Online Customer Surveys

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-ODPHP Website Screener	Yes	Yes	Fillable Fileable
Other-Website site and page level survey protocol	Yes	Yes	Fillable Fileable
Other-Site level Question Bank	Yes	Yes	Fillable Fileable
Other-ODPHP Web Survey Screenshots	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 44,000

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	44,000	44,000
Annual IC Time Burden (Hours)	1,534	1,534
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
ODPHP Website Survey Memo		09/28/2022

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

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