Information Collection

Customer Satisfaction Survey for Benefits.gov

IC 254941 under ICR 202312-1225-005 · OMB 1225-0059.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1225-0059 can be found here:

Documents and Forms

Document Name Document Type
Customer Satisfaction Survey for Benefits.gov Form and Instruction
Customer Satisfaction Survey for Benefits.gov Benefits.gov Citizen Satisfaction Survey_FY22_Updated 7_28_22.pdf www.benefits.gov Form and Instruction
Customer Satisfaction Survey for Benefits.gov Benefits.gov Citizen Satisfaction Survey_FY22_Updated 7_28_22.pdf www.benefits.gov Form and Instruction
Generic Clearance Submission Form_Benefits.gov_8.1.22.docx Benefits.gov Customer Satisfaction Survey - Supp. Supporting Statement IC Document
Generic Clearance Submission Form_Benefits.gov_8.1.22.docx Benefits.gov Customer Satisfaction Survey - Supp. Supporting Statement IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Customer Satisfaction Survey for Benefits.gov	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	NA	Customer Satisfaction Survey for Benefits.gov	Benefits.gov Citizen Satisfaction Survey_FY22_Updated 7_28_22.pdf	www.benefits.gov	Yes	Yes	Fillable Fileable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 6,000	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	6,000	6,000
Annual IC Time Burden (Hours)	300	300
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Benefits.gov Customer Satisfaction Survey - Supp. Supporting Statement	Generic Clearance Submission Form_Benefits.gov_8.1.22.docx	08/01/2022

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