4 Post Website Evaluation

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

Webdesign survey for NCEPCR post-website evaluation_v3.19.20

OMB: 0935-0179

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Form Approved

OMB No. 0935-0179

Exp. Date XX/XX/20XX




Post-website Redesign End user Survey to support redesign of the NCEPCR website (all groups of respondents)



  1. Based on your feedback, we have redesigned our website. You said then that you were interested in (tailor to interviewee). Could you please go to the website and try to find that information.

    1. How hard was it to find that information? What was confusing? What did you like?

    2. What about the visual display – did you find it attractive and appealing? Changes you suggest?

    3. Believability – does this information seem credible? Why or why not?

    4. What information on this topic would you expect to see that you do not see? What would be useful to include that is not there?

    5. How likely is it that you would visit this site again? Why or why not? (type of information, use of information)

    6. What else is important that I didn’t ask about?


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This survey is authorized under 42 U.S.C. 299a. The confidentiality of your responses to this survey is protected by Sections 944(c) and 308(d) of the Public Health Service Act [42 U.S.C. 299c-3(c) and 42 U.S.C. 242m(d)].  Information that could identify you will not be disclosed unless you have consented to that disclosure. Public reporting burden for this collection of information is estimated to average 60 minutes per response, the estimated time required to complete the survey. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number.  Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to: AHRQ Reports Clearance Officer Attention: PRA, Paperwork Reduction Project (0935-0179) AHRQ, 5600 Fishers Lane, Room #07W42, Rockville, MD 20857.



File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorHoltrop, Jodi S
File Modified0000-00-00
File Created2023-11-13

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