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

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (NIH)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0648 can be found here:

Documents and Forms

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

Information Collection (IC) Details

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:

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 %

	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

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.