Information Collection

2023 Feedback Survey Collection for All of Us Research Program Locations and Websites

IC 258645 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⚠️ Notice: This information collection may be referencing outdated material.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 2023 Feedback Survey Collection for All of Us Research Program Locations and Websites	Form and Instruction
1 Always on Survey All of Us Research Program CX Survey Instrument - Always On Survey.docx	Form and Instruction
2 General Intercept All of Us Research Program CX Survey Instrument - General Intercept Survey.docx	Form and Instruction
3 Onsite Survey All of Us Research Program CX Survey Instrument - Onsite Survey.docx	Form and Instruction
0648 Template - All of Us Research Program CX Surveys.docx Template	IC Document
Proof_COB_Medallia-Onsite-Survey-Tearaway-Flyer_022123_W335884.pdf Recruitment Materials	IC Document

IC Title:

2023 Feedback Survey Collection for All of Us Research Program Locations and Websites

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	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1	Always on Survey	All of Us Research Program CX Survey Instrument - Always On Survey.docx	Yes	Yes	Fillable Fileable
Form and Instruction	2	General Intercept	All of Us Research Program CX Survey Instrument - General Intercept Survey.docx	Yes	Yes	Fillable Fileable
Form and Instruction	3	Onsite Survey	All of Us Research Program CX Survey Instrument - Onsite Survey.docx	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 50,000

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	50,000	50,000
Annual IC Time Burden (Hours)	3,000	3,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Template	0648 Template - All of Us Research Program CX Surveys.docx	02/23/2023
Recruitment Materials	Proof_COB_Medallia-Onsite-Survey-Tearaway-Flyer_022123_W335884.pdf	02/23/2023

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