Information Collection

User feedback survey for National Institute on Deafness and Other Communication Disorders (NIDCD) website and Noisy Planet webpages

IC 250542 under ICR 202307-0925-002 · 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⚠️ Notice: This information collection may be referencing outdated material.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 User feedback survey for National Institute on Deafness and Other Communication Disorders (NIDCD) website and Noisy Planet webpages	Form and Instruction
1 Noisy Plant Vistor Survey Noisy Planet Visitor Survey Screenshots_2021-11-18.pdf	Form and Instruction
2 NIDCD Vistor Survey screenshots NIDCD Visitor Survey Screenshots_2021-11-15.pdf	Form and Instruction
NIDCD Site Survey and Questions for OMB Clearance_revised.docx NIDCD Site Survey Questions	IC Document
OMB Fast Track form - NIDCD Site Visitor Survey_revised.docx fast track NIDCD Site visitors and Noisy Planet	IC Document

IC Title:

User feedback survey for National Institute on Deafness and Other Communication Disorders (NIDCD) website and Noisy Planet webpages

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	Noisy Plant Vistor Survey	Noisy Planet Visitor Survey Screenshots_2021-11-18.pdf		Yes	Yes	Fillable Fileable
Form and Instruction	2	NIDCD Vistor Survey screenshots	NIDCD Visitor Survey Screenshots_2021-11-15.pdf		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
NIDCD Site Survey Questions	NIDCD Site Survey and Questions for OMB Clearance_revised.docx	11/24/2021
fast track NIDCD Site visitors and Noisy Planet	OMB Fast Track form - NIDCD Site Visitor Survey_revised.docx	11/24/2021

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