Customer Satisfaction Survey for Benefits.gov

Department of Labor Generic Clearance for Outreach Activities

Documents and Forms

Document Name Document Type
Customer Satisfaction Survey for Benefits.gov Form and Instruction
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

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.