E-Government Website Customer Satisfaction Surveys

OMB 1090-0008

This is a request for a three-year extension of the generic clearance to conduct customer satisfaction surveys for federal government websites. This was formerly known as the American Customer Satisfaction Index (ACSI) E-Government Website Customer Satisfaction Survey. The contractor that has provided the service for over a decade, ForeSee, is now using a derivative of the ACSI methodology called Customer Experience Analytics or CXA. This extension will allow for continued use of a data-driven and statistically valid approach to understanding customer satisfaction with agency websites, which are playing a strategic role of ever-increasing importance. The ultimate objective is to help agencies become more citizen-centric and achieve higher levels of citizen trust and confidence.

The latest form for E-Government Website Customer Satisfaction Surveys expires 2021-09-30 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form 32013 Complaint As 32013 Complaint Assistant Feedback survey questions Form and Instruction
Form 32013 Feedback Sur 32013 Feedback Survey Mapping Doc FTC IA#32013 Identity Theft Feedback survey Form and Instruction
Form 30825 Q_NIDCR_Web_ 30825 Q_NIDCR_Web_Browse_updated_01042021_DOT Form and Instruction
Form 30807 Q_NIH News i 30807 Q_NIH News in Health Survey_12-20-21_DOT Form and Instruction
Form 30916 Q_NIDDK Mobi 30916 Q_NIDDK Mobile v2_updated 02-15-2022_DOT Form and Instruction
Form 30813 Q_NHLBI_Brow 30813 Q_NHLBI_Browse V2_20211007_DOT Form and Instruction
Form 32003 Q_USDA-NASS_ 32003 Q_USDA-NASS_Web_Browse_20180611_DOT Form and Instruction
Form 32101 Feedback Sur 32101 Feedback Survey Mapping Doc Forest Service Mobile App Visitor Map Product Survey Form and Instruction
Form 30923 ERS_Web_Brow 30923 ERS_Web_Browse_updated March 2022 Form and Instruction
Form 20807 US Mint Desk 20807 US Mint Desktop Survey 3-29-2022 Form and Instruction
Form 20807 US Mint Mobi 20807 US Mint Mobile Survey 3-29-2022 Form and Instruction
Form 32006 Q_NHTSAmain_ 32006 Q_NHTSAmain_Web_Browse_2020_Feb_18_DOT Form and Instruction
Form 30919 OJP VehicleH 30919 OJP VehicleHistory BJA Rate This Page Form and Instruction
Form 30919 OJP SMART Ra 30919 OJP SMART Rate This Page Form and Instruction
Form 30919 OJP OVC Rate 30919 OJP OVC Rate This Page Form and Instruction
Form 30919 OJP Operatio 30919 OJP Operational Lady Justice Rate This Page Form and Instruction
Form 30919 OJP OJPNet R 30919 OJP OJPNet Rate This Page Form and Instruction
Form 30919 OJP OJP Rate 30919 OJP OJP Rate This Page Form and Instruction
Form 30919 OJP OJJDP Ra 30919 OJP OJJDP Rate This Page Form and Instruction
Form 30919 OJP NIJ Rate 30919 OJP NIJ Rate This Page Form and Instruction
Form 30919 OJP National 30919 OJP NationalGangCenter Website Feedback Survey Form and Instruction
Form 30919 OJP NamUs We 30919 OJP NamUs Website Feedback Survey Form and Instruction
Form 30919 OJP JusticeG 30919 OJP JusticeGrants Rate This Page Form and Instruction
Form 30919 OJP JGII Tea 30919 OJP JGII Team Site Form and Instruction
Form 30919 OJP Crime So 30919 OJP Crime Solutions Website Feedback Survey 3.10.22 Form and Instruction
Form 30919 OJP BJS.ojp. 30919 OJP BJS.ojp.gov Website Feedback Survey Form and Instruction
Form 30919 OJP BJA Webs 30919 OJP BJA Website Feedback Survey Form and Instruction
Form 32105 NIH-OAR HIVi 32105 NIH-OAR HIVinfo_Survey_Dec 2021 Form and Instruction
Form 32105 NIH-OAR Clin 32105 NIH-OAR ClinicalInfo_Survey_Dec 2021 Form and Instruction
Form 32011 Feedback Sur 32011 Feedback Survey - SBA 2021 Feedback survey Form and Instruction
Form 30818 EPA Web Brow 30818 EPA Web Browse_20210628_DOT Form and Instruction
Form 32013 FTC.gov Cons 32013 FTC.gov Consumer Mobile_updated by Michelle Dec 15 2021_DOT Form and Instruction
Form 32013 FTC.gov Cons 32013 FTC.gov Consumer Desktop_updated by Michelle December 14 2021_DOT Form and Instruction
Form 30724 Medicaid.gov 30724 Medicaid.gov Feedback Survey Form and Instruction
Form 30724 Q_Medicaid.g 30724 Q_Medicaid.gov_updated by Michelle July 14 2020 Form and Instruction
Form 30724 CMS - Insure 30724 CMS - InsureKidsNow_20180910_DOT Form and Instruction
Form 30689 Field Assist 30689 Field Assistance Taxpayer Experience Survey_Revised 1-20-22 Form and Instruction
Form 30689 IRS Spanish IRS OMB submissions - IA 30689 Form and Instruction
Form 30809 Q_ABMCv2_Web 30809 Q_ABMCv2_Web_Browse_20160411_DOT Form and Instruction
Form 30723 Q_NRC_Web_Br 30723 Q_NRC_Web_Browse_2019-10-23_DOT Form and Instruction
Form 30723 Q_NRC_Mobile 30723 Q_NRC_Mobile_20210319_DOT Form and Instruction
Form 30838 Q_FBI_Web_Br 30838 Q_FBI_Web_Browse_20170206_DOT Form and Instruction
Form 30689 EITC Foresee 30689 EITC Foresee survey questions 08182020 Form and Instruction
Form 30689 2020 TDC App 30689 2020 TDC Appeals Secure Messaging Survey vfinal2 Form and Instruction
Form 30689Copy of IRS F 30689Copy of IRS Free File survey Form and Instruction
Form 30689TEOS Survey 2 30689TEOS Survey 2020-05-05 IRS Form and Instruction
Form 20297 SEC Main Web 20297 SEC Main Web Browse_updated by Michelle Feb 02 2021_DOT Form and Instruction
Form 20297 SEC Main Mob 20297 SEC Main Mobile_updated by Michelle_02022021_DOT Form and Instruction
Form 30830 Copy of Q_US 30830 Copy of Q_USITC_02102021_DOT (1) Form and Instruction
Form 20807 US Mint Mobi 20807 US Mint Mobile survey Form and Instruction
Form 20807 US Mint Desk 20807 US Mint Desktop survey Form and Instruction
Form 30736 NOAA Fisheri 30736 NOAA Fisheries Mobile Informational_2020_12_17 Form and Instruction
Form 30841 Q_DOS Main M 30841 Q_DOS Main Mobile_20210708_DOT Form and Instruction
Form 30841 Q_DOS Main W 30841 Q_DOS Main Web Browse V3_20210610_DOT Form and Instruction
Form 30739 Q_FEMA_NFIP_ 30739 Q_FEMA_NFIP_Adjuster Claims Process_20211005_DOT (1) Form and Instruction
Form 30739 Q_FEMA NFIP_ 30739 Q_FEMA NFIP_Claim Examination_02072022_DOT Form and Instruction
Form 30739 NFIP Claim A 30739 NFIP Claim Adjustment_10_05_2021_DOT Form and Instruction
Form 30739 FEMA NFIP_Cl 30739 FEMA NFIP_Claim Start Functional 02_08_2022_DOT Form and Instruction
Form 30908 SSA Mobile W 30908 SSA Mobile Wages Questionnaire 1-27-2022 Form and Instruction
Form 30807 Survey Chang 30807 Survey Change Draft-2.11.22 Form and Instruction
Form 30820 Q VAMyHealth 30820 Q VAMyHealtheVet Web Browse_1-5-2022 by Chris Nelson Form and Instruction
Form 30820 Q VAMyHealth 30820 Q VAMyHealtheVet Mobile_1-5-2022 by Chris Nelson Form and Instruction
Form 30802 DLA Web Brow 30802 DLA Web Browse_updated by Michelle Jan 18 2022 Form and Instruction
Form 32105 NIH-OAR HIVi 32105 NIH-OAR HIVinfo_Survey_Dec 2021 Form and Instruction
Form 32105 NIH-OAR Clin 32105 NIH-OAR ClinicalInfo_Survey_Dec 2021 Form and Instruction
Form 30807 NIH News in 30807 NIH News in Health Survey_12.14.21 Form and Instruction
Form 30919 30919 data.ojp.usdoj.gov Feedback Form and Instruction
Form 30807 30807, Salud.NIH.gov Desktop survey Form and Instruction
Form Webinars 30733 1090-0008 Feedback Survey Mapping Doc - Webinars Form and Instruction
Form Granicus 30733 1090-0008 Feedback Survey Mapping Doc - Granicus Form and Instruction
Form geodesy.noaa.gov 30733 1090-0008 Feedback Survey Mapping Doc - geodesy.noaa.gov Form and Instruction
Form geospatial summit 30733 1090-0008 Feedback Survey Mapping Doc - datums - geospatial summit Form and Instruction
Form Contact Us 30733 1090-0008 Feedback Survey Mapping Doc - Contact Us Form and Instruction
Form 30724 30724 2021 Medicaid.gov Feedback Survey Form and Instruction
Form 30715 30715 2021 Proposed-Revision_VHA_Medical_Centers_Questionnaire Nov_3_2021 Form and Instruction
Form 3210 2021 32010 2021 DoDEA EAS Functional Desktop survey, updated by Michelle 11-3-2021 Form and Instruction
Justification for Non-substantive Change 1090-0008 - 04292022.docx Justification for No Material/Nonsubstantive Change
FCG Gov Web Model Template.xlsx Supplementary Document
SS_Part_B_for_1090-0008_04.29.22 non sub change.docx Supporting Statement B
SS_Part_A_1090-0008 04-29-22 Final non sub change.docx Supporting Statement A
1090-0008 60-day FRN 09212021 86FR52494.pdf Supplementary Document
PUBLISHED 60 Day Notice 1090-0008 (86 FR 21762).pdf Supplementary Document
1090-0008 Survey Mapping Document.docx Supplementary Document
1090-0008 Generic Clearance Request Form 09132018.pdf Supplementary Document
Executive Order 12862.htm Supplementary Document
32013 Complaint Assistant Feedback survey questions Form and Instruction
32013 Feedback Survey Mapping Doc FTC IA#32013 Identity Theft Feedback survey Form and Instruction
30825 Q_NIDCR_Web_Browse_updated_01042021_DOT Form and Instruction
30807 Q_NIH News in Health Survey_12-20-21_DOT Form and Instruction
30916 Q_NIDDK Mobile v2_updated 02-15-2022_DOT Form and Instruction
30813 Q_NHLBI_Browse V2_20211007_DOT Form and Instruction
32003 Q_USDA-NASS_Web_Browse_20180611_DOT Form and Instruction
32101 Feedback Survey Mapping Doc Forest Service Mobile App Visitor Map Product Survey Form and Instruction
30923 ERS_Web_Browse_updated March 2022 Form and Instruction
20807 US Mint Desktop Survey 3-29-2022 Form and Instruction
20807 US Mint Mobile Survey 3-29-2022 Form and Instruction
32006 Q_NHTSAmain_Web_Browse_2020_Feb_18_DOT Form and Instruction
30919 OJP VehicleHistory BJA Rate This Page Form and Instruction
30919 OJP SMART Rate This Page Form and Instruction
30919 OJP OVC Rate This Page Form and Instruction
30919 OJP Operational Lady Justice Rate This Page Form and Instruction
30919 OJP OJPNet Rate This Page Form and Instruction
30919 OJP OJP Rate This Page Form and Instruction
30919 OJP OJJDP Rate This Page Form and Instruction
30919 OJP NIJ Rate This Page Form and Instruction
30919 OJP NationalGangCenter Website Feedback Survey Form and Instruction
30919 OJP NamUs Website Feedback Survey Form and Instruction
30919 OJP JusticeGrants Rate This Page Form and Instruction
30919 OJP JGII Team Site Form and Instruction
30919 OJP Crime Solutions Website Feedback Survey 3.10.22 Form and Instruction
30919 OJP BJS.ojp.gov Website Feedback Survey Form and Instruction
30919 OJP BJA Website Feedback Survey Form and Instruction
32105 NIH-OAR HIVinfo_Survey_Dec 2021 Form and Instruction
32105 NIH-OAR ClinicalInfo_Survey_Dec 2021 Form and Instruction
32011 Feedback Survey - SBA 2021 Feedback survey Form and Instruction
30818 EPA Web Browse_20210628_DOT Form and Instruction
32013 FTC.gov Consumer Mobile_updated by Michelle Dec 15 2021_DOT Form and Instruction
32013 FTC.gov Consumer Desktop_updated by Michelle December 14 2021_DOT Form and Instruction
30724 Medicaid.gov Feedback Survey Form and Instruction
30724 Q_Medicaid.gov_updated by Michelle July 14 2020 Form and Instruction
30724 CMS - InsureKidsNow_20180910_DOT Form and Instruction
30689 Field Assistance Taxpayer Experience Survey_Revised 1-20-22 Form and Instruction
IRS OMB submissions - IA 30689 Form and Instruction
30809 Q_ABMCv2_Web_Browse_20160411_DOT Form and Instruction
30723 Q_NRC_Web_Browse_2019-10-23_DOT Form and Instruction
30723 Q_NRC_Mobile_20210319_DOT Form and Instruction
30838 Q_FBI_Web_Browse_20170206_DOT Form and Instruction
30689 EITC Foresee survey questions 08182020 Form and Instruction
30689 2020 TDC Appeals Secure Messaging Survey vfinal2 Form and Instruction
30689Copy of IRS Free File survey Form and Instruction
30689TEOS Survey 2020-05-05 IRS Form and Instruction
20297 SEC Main Web Browse_updated by Michelle Feb 02 2021_DOT Form and Instruction
20297 SEC Main Mobile_updated by Michelle_02022021_DOT Form and Instruction
30830 Copy of Q_USITC_02102021_DOT (1) Form and Instruction
20807 US Mint Mobile survey Form and Instruction
20807 US Mint Desktop survey Form and Instruction
30736 NOAA Fisheries Mobile Informational_2020_12_17 Form and Instruction
30841 Q_DOS Main Mobile_20210708_DOT Form and Instruction
30841 Q_DOS Main Web Browse V3_20210610_DOT Form and Instruction
30739 Q_FEMA_NFIP_Adjuster Claims Process_20211005_DOT (1) Form and Instruction
30739 Q_FEMA NFIP_Claim Examination_02072022_DOT Form and Instruction
30739 NFIP Claim Adjustment_10_05_2021_DOT Form and Instruction
30739 FEMA NFIP_Claim Start Functional 02_08_2022_DOT Form and Instruction
30908 SSA Mobile Wages Questionnaire 1-27-2022 Form and Instruction
30807 Survey Change Draft-2.11.22 Form and Instruction
30820 Q VAMyHealtheVet Web Browse_1-5-2022 by Chris Nelson Form and Instruction
30820 Q VAMyHealtheVet Mobile_1-5-2022 by Chris Nelson Form and Instruction
30802 DLA Web Browse_updated by Michelle Jan 18 2022 Form and Instruction
32105 NIH-OAR HIVinfo_Survey_Dec 2021 Form and Instruction
32105 NIH-OAR ClinicalInfo_Survey_Dec 2021 Form and Instruction
30807 NIH News in Health Survey_12.14.21 Form and Instruction
30919 data.ojp.usdoj.gov Feedback Form and Instruction
30807, Salud.NIH.gov Desktop survey Form and Instruction
30733 1090-0008 Feedback Survey Mapping Doc - Webinars Form and Instruction
30733 1090-0008 Feedback Survey Mapping Doc - Granicus Form and Instruction
30733 1090-0008 Feedback Survey Mapping Doc - geodesy.noaa.gov Form and Instruction
30733 1090-0008 Feedback Survey Mapping Doc - datums - geospatial summit Form and Instruction
30733 1090-0008 Feedback Survey Mapping Doc - Contact Us Form and Instruction
30724 2021 Medicaid.gov Feedback Survey Form and Instruction
30715 2021 Proposed-Revision_VHA_Medical_Centers_Questionnaire Nov_3_2021 Form and Instruction
32010 2021 DoDEA EAS Functional Desktop survey, updated by Michelle 11-3-2021 Form and Instruction

202204-1090-002 Approved without change	No material or nonsubstantive change to a currently approved collection	2022-10-31
202109-1090-002 Approved with change	Extension without change of a currently approved collection	2021-09-21
201805-1090-003 Approved with change	Extension without change of a currently approved collection	2018-07-27
201412-1090-002 Approved without change	Revision of a currently approved collection	2015-03-18
201110-1090-001 Approved without change	Revision of a currently approved collection	2011-11-21
201101-1090-002 Approved without change	No material or nonsubstantive change to a currently approved collection	2011-01-27
200905-1090-001 Approved without change	Revision of a currently approved collection	2009-05-04