Information Collection

Customer Satisfaction Survey for Benefits.gov

IC 254941 under ICR 202409-1225-001 · 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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
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

IC Title:

Customer Satisfaction Survey for Benefits.gov

Agency IC Tracking Number:

IC Status: Removed

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of 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 %

table that charts list of burden
	Program Change Due to Agency Discretion	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

table that charts IC Documents
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.