E-Government Website Customer Satisfaction Surveys

Forms and Documents

Document Name	Status
Form 015 2018 015 Q_USMint_Mobile_Browse_20180709 Form and Instruction	New
Form 014 2018 014 FTC Identity Theft Feedback Survey Template_Government Form and Instruction	New
Form 013 2018 013 Q_USMint_Web_Browse_20180709 MAKE CQ CHANGE Form and Instruction	New
Form 011 2018 011 FTC Spanish Consumidor_Feedback Survey_06.01.2018 Form and Instruction	New
Form 012 2018 012 DHA Feedback Questions_ OMB Approval (1) Form and Instruction	New
Form 010 2018 010 Q_PSCNewSecuirutyFeedbackSurvey_Web_Browse_20180507 Form and Instruction	New
Form 009 2018 009 Q_DoDDMA_Web_Browse_v2_20180316 Form and Instruction	New
Form 008 2018 008 NHLBI_Feedback Form and Instruction	New
Form 007 2018 007 CDSE FEVS Survey_02_27_2018 Form and Instruction	New
Form 006 2018 006 Q_EPA_Web_Browse_20180308 Form and Instruction	New
Form 005 2018 005 SEC Investor.gov Mobile Browse Form and Instruction	New
Form 004 2018 004 NIH_Feedback Form and Instruction	New
Form 003 2018 003 ANC National Dialogue V2 Form and Instruction	New
Form 002 2018 002 Q_PalmettoGBA_JJ_Web_Browse_20180108 Form and Instruction	New
Form 001 2018 001 SBA Browse V2 - 01-05-2018 Form and Instruction	New
Form 1053 2017 1053 USFS-Visitor-Map-Feedback-Survey-1-16-2018 (1) Form and Instruction	New
Form 1048 2017 1048 Q_FEMA_Audience 3_12.15.2017 Form and Instruction	New
Form 1049 2017 1049 Q_NSF_Web_Browse_20171117 Form and Instruction	New
Form 1050 2017 1050 Q_BLS_Web_Browse_20171207 Form and Instruction	New
Form 1051 2017 1051 Q_FEMA_Adjuster_Audience 2_20171025 Form and Instruction	New
Form 1052 2017 1052 Q_FEMA_Audience 2_12.15.2017 Form and Instruction	New
Form 1047 2017 1047 Q_USCourts_Mobile Questionnaire 2017_11_01 Form and Instruction	New
Form 1046 2017 1046 Q_E-Verify v2_Web_Browse_20171121 Form and Instruction	New
Form 1045 2017 1045 Q_IRS TDC Secure Messaging_20171109 Form and Instruction	New
Form 1044 2017 1044 Q_myE-Verify-Self Check v2_Web_Browse_20171121 Form and Instruction	New
Form 1040 2017 1040 USDA NAL Browse 2017 Form and Instruction	New
Form 1039 2017 1039 Q_TreasuryDirect_Browse_20171009 Form and Instruction	New
Form 1035 2017 1035 Q_DOSCareers_Mobile_App_20171004 Form and Instruction	New
Form 1034 2017 1034 Palmetto GBA Railroad Desktop Informational_10.10.17 Form and Instruction	New
Form 1032 2017 1032 Q_OPMUSAJOBS_Web_Browse_20170919_DOT (1) Form and Instruction	New
Form 1033 2017 1033 Q_NSF_Web_Browse_20170109 Form and Instruction	New
Form 1032 2017 1032 Q_FEMA - NFIP_Claim Filing Functional_20170829 Form and Instruction	New
Form 1031 2017 1031 ANC Family Questionnaire Form and Instruction	New
Form 1030 2017 1030 NIH NHLBI Desktop Informational 8.16.17 Form and Instruction	New
Form 1029 2017 1029 NIH-NCCIH Desktop Browse Questionnaire_081817 Form and Instruction	New
Form 1028 2017 1028 NOAA Fisheries Desktop Informational 08282017 Form and Instruction	New
Form 1027 2017 1027 Q_ANC_Functional_NationalDialogue_20170817 Form and Instruction	New
Form 1026 2017 1026 NOAA Fisheries Mobile Bowse Form and Instruction	New
Form 1025 2017 1025 Q_FEMA - NFIP_Adjuster Functional_20170901 Form and Instruction	New
Form 1024 2017 1024 Medicaid.gov first draft questionnaire 6.5.17 Form and Instruction	New
Form 1022 2017 1022 FBI Mobile Questionnaire Form and Instruction	New
Form 1021 2017 1021 TRICARE Publications Functional 5.18.17 Form and Instruction	New
Form 1020 2017 1020 DHA Admiral Functional 5.24.17 Form and Instruction	New
Form 1019 2017 1019 DHA MSO-VSO Outreach Functional 5.23.17 Form and Instruction	New
Form 1018 2017 1018 DHA Customer Service Community intranet Form and Instruction	New
Form 1017 2017 1017 USPTO Applicant Survey 4_18_17 FINAL Form and Instruction	New
Form 1016 2017 1016 Smithsonian Mobile questionnaire 2017-04-19 Form and Instruction	New
Form 1015 2017 1015 TRICARE Mobile 4.10.2017 Form and Instruction	New
Form 1014 2017 1014 Health.mil Questionnaire_Draft 2_QAP Edits Form and Instruction	New
Form 1013 2017 1013 USAJOBS Mobile 3.21.17 Form and Instruction	New
Form 1012 2017 1012 DOD Slam 03-15-2017 Form and Instruction	New
Form 1011 2017 1011 SEC.gov Mobile Questionnaire-SEC FINAL Form and Instruction	New
Form 1010 2017 1010 MHA Mobile 2-21-2017 B Form and Instruction	New
Form 1007 2017 1007 myRA Desktop Browse 2.13.17 Form and Instruction	New
Form 1006 2017 1006 myRA Mobile Browse 2.13.17 Form and Instruction	New
Form 1009 2017 1009 VA Vantage Point new survey Model 2.3.17 (1) Form and Instruction	New
Form 1008 2017 1008 FBI V4 Questionnaire 1.27.17 Form and Instruction	New
Form 1005 2017 1005 SEC.gov Mobile Questionnaire-SEC FINAL Form and Instruction	New
Form 1003 2017 1003 USAJOBS Mobile new survey model Form and Instruction	New
Form 1000 2017 1000 USPTO Applicant Survey 2016.12.05 Form and Instruction	New
Form 1001 2017 1001 DLA Desktop Browse 2016.12.27 Form and Instruction	New
Form 1002 2017 1002 IRS Online Account Survey 12-9-16 Form and Instruction	New
Form 1004 2017 1004 SAVE v2 Qts 12-22-16FINAL Form and Instruction	New
Form 1003 2017 1003 USAJOBS Mobile new survey model Form and Instruction	New
Form 998 2016 998 IRS Online Account Survey FINAL 12-2-16 Form and Instruction	New
Form 999 2016 999 ForeSee Feedback Questions Form and Instruction	New
Form 997 2016 997 SEC IAPD Mobile 2017 Questionnaire - Final (1) Form and Instruction	New
Form 996 2016 996 DOJ OVC Mobile Browse 110916 Form and Instruction	New
Form 995 2016 995 DOJ OVC Email Newsletter DRAFT_mca comments FS 110416 Form and Instruction	New
Form 994 2016 994 DOJ OVC Desktop Browse 110916 Form and Instruction	New
Form 993 2016 993IRS Mobile 10-4-16 Form and Instruction	New
Form 992 2016 992DoD DANTES Desktop 9-20-2016 Form and Instruction	New
Form 991 20160 991USPTO Examiner Survey Draft Form and Instruction	New
Form 990 2016 990NIDCR Mobile 2016-10-03 Form and Instruction	New
Form 989 2016 989NIDCR Desktop 2016-10-03 Form and Instruction	New
Form 987 2016 987 NIH Grants ERA 2016 Questionnaire Draft 9.21 Form and Instruction	New
Form 983 2016 983CIA Careers Mobile_v2_8.10.16_resubmit Form and Instruction	New
Form 984 2016 984CIA Careers Desktop_v4_7.11.16_resubmit Form and Instruction	New
Form 981 2016 981 NIAMS Feedback Questionnaire_6 16 2016 Form and Instruction	New
Form 980 2016 980 USPTO FPNG Questionnaire_6.21.16 Form and Instruction	New
Form 979 2016 979 Questionnaire_Advisor Info_June 14 2016_ForeSee v2 Form and Instruction	New
Form 975 2015 975 AIDS Info CQ Changes 5.16.16_OMB Form and Instruction	New
Form 978 2015 978 NIST Qnaire - 5-25-16 NIST Form and Instruction	New
Form 977 2015 977 CQs for OMB - 6-9-16 Form and Instruction	New
Form 976 2015 976 CMS-CGS DME MAC B Questionnaire 6.9.16 Form and Instruction	New
Form 975 2015 975 AIDS Info CQ Changes 5.16.16_OMB Form and Instruction	New
Form 974 2015 974 DOJ - BJS Questionnaire_5 4 2016_Clean Form and Instruction	New
Form 973 2015 973 US Treasury v3 Questionnaire 5-12-16 Form and Instruction	New
Form 972 2015 972 FDA Email Survey OEA-OC 5.9.2016 Form and Instruction	New
Form 971 2015 971 Questionnaire_Advisor Info_Apr 29 2016_ForeSee Form and Instruction	New
Form 970 2015 970 NGS NOAA V3 - 04-19-2016 Form and Instruction	New
Form 969 2015 969 DRAFT - NPS.gov Mobile Questionnaire Form and Instruction	New
Form 968 2015 968 of Onboarding CAU MQ CQ 040516 Form and Instruction	New
Form 967 2015 967 of NRC QST V3_To Go Live 7.1.16_To OMB Form and Instruction	New
Form 966 2015 966 Questionnaire_DOI ONRR Desktop Browse_25 Feb 2016_DOT Form and Instruction	New
Form 965 2015 965 NIDDKv2_Browse Questionnaire_3.3.16 Form and Instruction	New
Form 964 2015 964 NIDDK_Mobile Questionnaire_3.3.16 Form and Instruction	New
Form 963 2015 963 myUSCIS Questionnaire 2-26-16FINAL Form and Instruction	New
Form 960 2016 960 DHS CIS v2 11-5-15FINAL Form and Instruction	New
Form 961 2016 961 NIDDK_Mobile_2.10.16 Form and Instruction	New
Form 962 2016 962 NIDDKv2_Browse Questionnaire_2.10.16_OMB Form and Instruction	New
Form 959 Copy of CDC Mobile NPIN - 2.1.2016 Form and Instruction	New
Form 959 Copy of DHS CIS v2 9-22-15DRAFT Form and Instruction	New
Form 958 RxNav NLM Questionnaire - 12.17.15_DOT Form and Instruction	New
Form 954 2015 954 NCI Mobile w Client Revisions Form and Instruction	New
Form 955 2015 955 NSA Desktop Browse MQ CQ FSR 1217 Form and Instruction	New
Form 956 2015 956 NSA Mobile Browse MQ CQ FSR 1217 Form and Instruction	New
Form 957 2015 957 Questionnaire Relaunch Updates Dec 2015 Final 12_15 (1) Form and Instruction	New
Form 953 2015 953 Call 2 FBMS 430 Report Form and Instruction	New
Form 952 2015 952 NCI Main_Qnaire New Model & CQs Nov-2015 Form and Instruction	New
Form 951 2015 951 HRSA Mobile Survey_11-12-2015 Form and Instruction	New
Form 9550 2015 950 HRSA Enewsletter survey Form and Instruction	New
Form 948 2015 948 DHS CIS Mobile - 2015 949 SBA Learning Center Feedback Form and Instruction	New
Form 943 2015 943 IRS v3 - 2015 947 NARA Archives Form and Instruction	New
Form 939 2015 939 ACA AIR Readiness - 2015 942 NIJ v3 Form and Instruction	New
Form 936 2015 935 ABMC v2 - 2015 938 NPIN-CDC Premium Enterprise Form and Instruction	New
Form 934 2015 934 IRS ACH Direct Pay Mobile Form and Instruction	New
Form 931 2015 931 DOS Blogs - 2015 933 FDA Email Enterprise Survey Form and Instruction	New
Form 930 2015 930 UNICOR - v2 Form and Instruction	New
Form 927 2015 927 FTC Questionnaire_Feedback - 2015 929 PalmettoGBA JM Form and Instruction	New
Form 927 2015 927 FRA Questionnaire Form and Instruction	New
Form 920 2015 920 ANC_Questionnaire - 2015 926 USDA FNS Customer Service Standards Form and Instruction	New
Form 1164 2015 919 MyUSCIS Questionnaire Form and Instruction	New
Form 1163 2015 918 Fiscal Service Questionnaire Form and Instruction	New
Form 1162 2015 917 Alumni v3 Questionnaire Form and Instruction	New
Form 1161 2015 916 USDA FSIS Form and Instruction	New
Form 1160 2015 915 TreasuryDirect Form and Instruction	New
Form 1159 2015 914 Treasury MHA Renewal Form and Instruction	New
Form 1158 2015 913 OJP OVC Form and Instruction	New
Form 1157 2015 912 OJP OJJDP Form and Instruction	New
Form 1156 2015 911 OJP Main Form and Instruction	New
Form 1155 2015 910 OJP BJA Form and Instruction	New
Form 1154 2015 909 NCJRS (OJP Program) Form and Instruction	New
Form 1153 2015 908 Labor Union Reports Form and Instruction	New
Form 1152 2015 907 Healthypeople Form and Instruction	New
Form 1151 2015 906 Healthfinder Form and Instruction	New
Form 1150 2015 905 DOT RITA Form and Instruction	New
Form 1149 2015 904 GSA Auctions Form and Instruction	New
Form 1148 2015 903 Disability.gov Form and Instruction	New
Form 1147 2015 902 CMS Compare Form and Instruction	New
Form 1146 2015 901 CMS - Cahaba GBA JJ MAC Form and Instruction	New
Form 1145 2015 900 NASS Satisfaction Survey Form and Instruction	New
Form 1144 2015 899 USPTO Mobile Form and Instruction	New
Form 1143 2015 898 USPTO Form and Instruction	New
Form 1142 2015 897 U.S. Department of Education Form and Instruction	New
Form 1141 2015 896 OPM On Boarding Manager Form and Instruction	New
Form 1140 2015 895 FBI Form and Instruction	New
Form 1139 2015 894 EPA Regulations.gov Form and Instruction	New
Form 1138 2014 893 NOAA Fisheries Satisfaction Survey Form and Instruction	New
Form 1137 2014 892 APHIS Biotechnology Regulatory Services Survey Form and Instruction	New
Form 1136 2014 891 TreasuryDirect v2 Form and Instruction	New
Form 1135 2014 890 NHLBI Form and Instruction	New
Form 1134 2014 889 Go4Life Mobile Form and Instruction	New
Form 1133 2014 888 Recreation.gov Form and Instruction	New
Form 1132 2014 887 NRC Form and Instruction	New
Form 1131 2014 886 Maritime Administration Form and Instruction	New
Form 1130 2014 885 HHS OCR Form and Instruction	New
Form 1129 2014 884 DoD Tricare Form and Instruction	New
Form 1128 2014 883 DHS CIS Citizenship Resource Center Form and Instruction	New
Form 1127 2014 882 CMS Medicare Form and Instruction	New
Form 1126 2014 881 Weather.gov Form and Instruction	New
Form 1125 2014 880 SAMHSA Store Form and Instruction	New
Form 1124 2014 879 SAMHSA Form and Instruction	New
Form 1123 2014 878 NWHIC Womenshealth Form and Instruction	New
Form 1122 2014 877 NPS Renewal Form and Instruction	New
Form 1121 2014 876 NIH NIA Alzheimers Browse Form and Instruction	New
Form 1120 2014 875 NHWIC Girlshealth Form and Instruction	New
Form 1119 2014 874 NCI Team Science Toolkit Form and Instruction	New
Form 1118 2014 873 NLM GHR_Questionnaire_10-17-14 Form and Instruction	New
Form 1117 2014 872 FEC Web Browse 10-17-14 Form and Instruction	New
Form 1116 2014 871 CG Questionnaire 10-15-2014 Form and Instruction	New
Form 1115 2014 870 DoDEA Form and Instruction	New
Form 1114 2014 869 PSC Email Form and Instruction	New
Form 1113 2014 868 PSC Form and Instruction	New
Form 1112 2014 867 OPM Six-Month Manager Form and Instruction	New
Form 1111 2014 866 NRCS Satisfaction Survey Form and Instruction	New
Form 1110 2014 865 NIAMS Form and Instruction	New
Form 1109 2014 864 SSA Main Mobile Survey Form and Instruction	New
Form 1108 2014 863 NIH Grants Form and Instruction	New
Form 1107 2014 862 FEC Web Browse Form and Instruction	New
Form 1106 2014 861 VA-My HealtheVet Form and Instruction	New
Form 1105 2014 860 VA Form and Instruction	New
Form 1104 2014 859 USITC Form and Instruction	New
Form 1103 2014 858 USAJOBS Form and Instruction	New
Form 1102 2014 857 UNICOR Form and Instruction	New
Form 1101 2014 855 State Embassy Enterprise Form and Instruction	New
Form 1100 2014 856 TTB Form and Instruction	New
Form 1099 2014 854 OPM Post Completers Form and Instruction	New
Form 1098 2014 853 OPM Managers Form and Instruction	New
Form 1097 2014 852 OPM Completers Form and Instruction	New
Form 1096 2014 851 OPM Abandoners Form and Instruction	New
Form 1095 2014 850 FTC Onguardonline Form and Instruction	New
Form 1094 2014 849 FTC Main Form and Instruction	New
Form 1093 2014 848 FTC Complaintassistant Form and Instruction	New
Form 1092 2014 847 FDIC Main Form and Instruction	New
Form 1091 2014 846 FDIC Applications Form and Instruction	New
Form 1090 2014 845 FAA Renewal Form and Instruction	New
Form 1089 2014 844 DOJ NIJ Form and Instruction	New
Form 1088 2014 843 CDC Form and Instruction	New
Form 1087 2014 842 Careers State Form and Instruction	New
Form 1086 2014 841 VHA Medical Centers Form and Instruction	New
Form 1085 2014 840 VA VBA Form and Instruction	New
Form 1084 2014 839 State ECA Alumni Form and Instruction	New
Form 1083 2014 838 SSA Retirement Estimator Form and Instruction	New
Form 1082 2014 837 SSA MySSA Form and Instruction	New
Form 1081 2014 836 SSA Mobile Wage Form and Instruction	New
Form 1080 2014 835 SSA Main Form and Instruction	New
Form 1079 2014 834 SSA iClaim 2013 Form and Instruction	New
Form 1078 2014 833 SSA iAppeals 2012 Form and Instruction	New
Form 1077 2014 832 SSA iAppeal 2013 Form and Instruction	New
Form 1076 2014 831 SSA Extra Help Form and Instruction	New
Form 1075 2014 830 SSA Disability Report Form and Instruction	New
Form 1074 2014 829 SSA Diagnostic formerly FAQ Form and Instruction	New
Form 1073 2014 828 SSA BSO Form and Instruction	New
Form 1072 2014 827 NLM Main Form and Instruction	New
Form 1071 2014 826 NLM Clinical Trials SiteFeedback Form and Instruction	New
Form 1070 2014 825 NLM Clinical Trials Form and Instruction	New
Form 1069 2014 824 NIH NIAID Form and Instruction	New
Form 1068 2014 822 DOTREAS-CDFI Fund Form and Instruction	New
Form 1067 2014 822 DOTREAS-CDFI Fund Form and Instruction	New
Form 1066 2014 821 DOT FRA Form and Instruction	New
Form 1065 176010 Form and Instruction	New
Form 1064 2014 819 DHS USCIS Form and Instruction	New
Form 1063 2014 818 MyCareeratVA Form and Instruction	New
Form 1062 2014 817 AIDSinfoMobile Form and Instruction	New
Form 1061 2014 816 USPSTF Form and Instruction	New
Form 1060 2014 815 SBA Form and Instruction	New
Form 1059 2014 814 NIH NICHD Form and Instruction	New
Form 1058 2014 813 Grants.gov Form and Instruction	New
Form 1057 2014 812 DoD DMA ENT Form and Instruction	New
Form 1056 2014 811 AHRQ Enterprise Form and Instruction	New
Form 1055 2014 810 AHRQ Email Form and Instruction	New
Form 1054 2014 809 USAJobs v2 6-27-14 Form and Instruction	New
Form 1053 2014 808 VA eBenefits 5-13-14 Form and Instruction	New
Form 1052 2014 807 Treasury Main 5-31-2014 Form and Instruction	New
Form 1051 2014 806 Travel State 5-13-14 Form and Instruction	New
Form 1050 2014 805 NFS Renewal 5-29-14 Form and Instruction	New
Form 1049 2014 804 Forest Service Enterprise 5-31-14 Form and Instruction	New
Form 1048 2014 803 BLS 5-31-14 Form and Instruction	New
Form 1047 2014 802 Benefits.gov 5-31-14 Form and Instruction	New
Form 1046 2014 801 US Mint Mobile Survey 6-3-14 Form and Instruction	New
Form 1045 2014 800 PSC Milestone Survey 6-3-14 Form and Instruction	New
Form 1044 2014 799 USGS Renewal Form and Instruction	New
Form 1043 2014 798 NOAA NGS Renewal Form and Instruction	New
Form 1042 2014 797 USPTO CC Survey 5-1-14 Form and Instruction	New
Form 1041 2014 796 USDA FNS_ Premium Enterprise_ 5-1-14 Form and Instruction	New
Form 1040 2014 795 Treasury OFS Renewal Form and Instruction	New
Form 1039 2014 794 ABMC SiteGov Form and Instruction	New
Form 1038 2014 793 FTC ComplaintAssistant survey Form and Instruction	New
Form 1037 2014 792 PBGC CSAT Form and Instruction	New
Form 1036 2014 791 NIST Form and Instruction	New
Form 1035 2014 790 NIH Main Form and Instruction	New
Form 1034 2014 789 NIH AIDSinfo Form and Instruction	New
Form 1033 2014 788 NIH - NCCAM Form and Instruction	New
Form 1032 2014 787 NIDCR Site Feedback Form and Instruction	New
Form 1031 2014 786 NHTSA Renewal Form and Instruction	New
Form 1030 2014 785 HRSA Renewal Form and Instruction	New
Form 1029 2014 784 GSA Reginfo Form and Instruction	New
Form 1028 2014 783 DOT FHWA Renewal 2013 3-30-2014 Form and Instruction	New
Form 1027 2014 782 Architect of the US Capitol Tour Form and Instruction	New
Form 1026 2014 781 Architect of the US Capitol Gift Shop Form and Instruction	New
Form 1025 2014 780 IRS ACA 3-31-14 Form and Instruction	New
Form 1024 2014 779 Application Manager_3-31-14 Form and Instruction	New
Form 1023 2014 778 FMCSA 2-28-14 Form and Instruction	New
Form 1022 2014 777 DOJ CrimeSolutions (OJP Program) _2-18-14 Form and Instruction	New
Form 1021 2014 776 CIA _2-28-14 Form and Instruction	New
Form 1020 2014 775 USPTO Mobile 2013_1-30-14 Form and Instruction	New
Form 1019 2014 774 USDA FSIS Renewal 2013_1-31-14 Form and Instruction	New
Form 1018 2014 773 TreasuryDirect 2013_1-31-14 Form and Instruction	New
Form 1017 2014 772 Treasury MHA Renawal 2013_1-26-14 Form and Instruction	New
Form 1016 2014 771 NASA Main Renewal 2013_1-5-13 Form and Instruction	New
Form 1015 2014 770 Labor Union Reports Renewal 2013_1-31-14 Form and Instruction	New
Form 1014 2014 769 HHS ODPHP Healthypeople 2013_1-6-14 Form and Instruction	New
Form 1013 2014 768 HHS ODPHP Healthfinder 2013_1-6-14 Form and Instruction	New
Form 1012 2014 767 GSA Govsales 2013_1-2-14 Form and Instruction	New
Form 1011 2014 766 GSA Auctions 2013_1-2-14 Form and Instruction	New
Form 1010 2014 765 DOT RITA Renewal 2013_1-5-14 Form and Instruction	New
Form 1009 2014 764 DOT MAIN 2013_1-16-14v Form and Instruction	New
Form 1008 2014 763 DOT Intranet 2013_1-16-14 Form and Instruction	New
Form 1007 2014 762 DOJ OVC (OJP Program)_1-16-14 Form and Instruction	New
Form 1006 2014 761 DOJ OJP Main (OJP Program) Form and Instruction	New
Form 1005 2014 760 DOJ OJJDP (OJP Program) 2012_1-18-14 Form and Instruction	New
Form 1004 2014 759 DOJ NCJRS (OJP Program) Form and Instruction	New
Form 1003 DOJ BJA (OJP) PROGRAMMING) Form and Instruction	New
Form 1002 Disability.gov Form and Instruction	New
Form 1001 CMS Compare Enterprise Form and Instruction	New
Form 1000 SSS Diagnostic Survey Form and Instruction	New
1090-0008 30 Day FRN 2015.pdf Supplementary Document	2015-03-18
Foresee Gov Web Model Template.xlsx Supplementary Document	2015-02-26
SS_Part_A_1090-0008_2.23.15.docx Supporting Statement A	2015-02-24
60 Day Notice 1090-0008 2014.pdf Supplementary Document	2015-02-23
SS_Part_B_for_1090-0008_2.23.15.doc Supporting Statement B	2015-02-23
The ForeSee CXA Methodology.pdf Supplementary Document	2015-01-20
Executive Order 12862.htm Supplementary Document	2008-09-25

IC Document Collections

IC ID	Document Title	Status
232325	2018 015 Q_USMint_Mobile_Browse_20180709 Form and Instruction	New
232324	2018 014 FTC Identity Theft Feedback Survey Template_Government Form and Instruction	New
232323	2018 013 Q_USMint_Web_Browse_20180709 MAKE CQ CHANGE Form and Instruction	New
232023	2018 011 FTC Spanish Consumidor_Feedback Survey_06.01.2018 Form and Instruction	New
231931	2018 012 DHA Feedback Questions_ OMB Approval (1) Form and Instruction	New
231595	2018 010 Q_PSCNewSecuirutyFeedbackSurvey_Web_Browse_20180507 Form and Instruction	New
231045	2018 009 Q_DoDDMA_Web_Browse_v2_20180316 Form and Instruction	New
231044	2018 008 NHLBI_Feedback Form and Instruction	New
230648	2018 007 CDSE FEVS Survey_02_27_2018 Form and Instruction	New
230647	2018 006 Q_EPA_Web_Browse_20180308 Form and Instruction	New
230310	2018 005 SEC Investor.gov Mobile Browse Form and Instruction	New
230008	2018 004 NIH_Feedback Form and Instruction	New
230007	2018 003 ANC National Dialogue V2 Form and Instruction	New
229769	2018 002 Q_PalmettoGBA_JJ_Web_Browse_20180108 Form and Instruction	New
229768	2018 001 SBA Browse V2 - 01-05-2018 Form and Instruction	New
229759	2017 1053 USFS-Visitor-Map-Feedback-Survey-1-16-2018 (1) Form and Instruction	New
229595	2017 1048 Q_FEMA_Audience 3_12.15.2017 Form and Instruction	New
229593	2017 1049 Q_NSF_Web_Browse_20171117 Form and Instruction	New
229592	2017 1050 Q_BLS_Web_Browse_20171207 Form and Instruction	New
229591	2017 1051 Q_FEMA_Adjuster_Audience 2_20171025 Form and Instruction	New
229590	2017 1052 Q_FEMA_Audience 2_12.15.2017 Form and Instruction	New
229232	2017 1047 Q_USCourts_Mobile Questionnaire 2017_11_01 Form and Instruction	New
229231	2017 1046 Q_E-Verify v2_Web_Browse_20171121 Form and Instruction	New
229230	2017 1045 Q_IRS TDC Secure Messaging_20171109 Form and Instruction	New
229229	2017 1044 Q_myE-Verify-Self Check v2_Web_Browse_20171121 Form and Instruction	New
228881	2017 1040 USDA NAL Browse 2017 Form and Instruction	New
228880	2017 1039 Q_TreasuryDirect_Browse_20171009 Form and Instruction	New
228874	2017 1035 Q_DOSCareers_Mobile_App_20171004 Form and Instruction	New
228873	2017 1034 Palmetto GBA Railroad Desktop Informational_10.10.17 Form and Instruction	New
228519	2017 1032 Q_OPMUSAJOBS_Web_Browse_20170919_DOT (1) Form and Instruction	New
228518	2017 1033 Q_NSF_Web_Browse_20170109 Form and Instruction	New
228256	2017 1032 Q_FEMA - NFIP_Claim Filing Functional_20170829 Form and Instruction	New
228255	2017 1031 ANC Family Questionnaire Form and Instruction	New
228254	2017 1030 NIH NHLBI Desktop Informational 8.16.17 Form and Instruction	New
228253	2017 1029 NIH-NCCIH Desktop Browse Questionnaire_081817 Form and Instruction	New
228252	2017 1028 NOAA Fisheries Desktop Informational 08282017 Form and Instruction	New
228250	2017 1027 Q_ANC_Functional_NationalDialogue_20170817 Form and Instruction	New
228249	2017 1026 NOAA Fisheries Mobile Bowse Form and Instruction	New
228248	2017 1025 Q_FEMA - NFIP_Adjuster Functional_20170901 Form and Instruction	New
227406	2017 1024 Medicaid.gov first draft questionnaire 6.5.17 Form and Instruction	New
227044	2017 1022 FBI Mobile Questionnaire Form and Instruction	New
227043	2017 1021 TRICARE Publications Functional 5.18.17 Form and Instruction	New
227042	2017 1020 DHA Admiral Functional 5.24.17 Form and Instruction	New
227041	2017 1019 DHA MSO-VSO Outreach Functional 5.23.17 Form and Instruction	New
227040	2017 1018 DHA Customer Service Community intranet Form and Instruction	New
226726	2017 1017 USPTO Applicant Survey 4_18_17 FINAL Form and Instruction	New
226725	2017 1016 Smithsonian Mobile questionnaire 2017-04-19 Form and Instruction	New
226365	2017 1015 TRICARE Mobile 4.10.2017 Form and Instruction	New
226363	2017 1014 Health.mil Questionnaire_Draft 2_QAP Edits Form and Instruction	New
226240	2017 1013 USAJOBS Mobile 3.21.17 Form and Instruction	New
226239	2017 1012 DOD Slam 03-15-2017 Form and Instruction	New
226101	2017 1011 SEC.gov Mobile Questionnaire-SEC FINAL Form and Instruction	New
226100	2017 1010 MHA Mobile 2-21-2017 B Form and Instruction	New
225706	2017 1007 myRA Desktop Browse 2.13.17 Form and Instruction	New
225705	2017 1006 myRA Mobile Browse 2.13.17 Form and Instruction	New
225584	2017 1009 VA Vantage Point new survey Model 2.3.17 (1) Form and Instruction	New
225583	2017 1008 FBI V4 Questionnaire 1.27.17 Form and Instruction	New
225580	2017 1005 SEC.gov Mobile Questionnaire-SEC FINAL Form and Instruction	New
225294	2017 1003 USAJOBS Mobile new survey model Form and Instruction	New
225293	2017 1000 USPTO Applicant Survey 2016.12.05 Form and Instruction	New
225292	2017 1001 DLA Desktop Browse 2016.12.27 Form and Instruction	New
225291	2017 1002 IRS Online Account Survey 12-9-16 Form and Instruction	New
225290	2017 1004 SAVE v2 Qts 12-22-16FINAL Form and Instruction	New
225289	2017 1003 USAJOBS Mobile new survey model Form and Instruction	New
224713	2016 998 IRS Online Account Survey FINAL 12-2-16 Form and Instruction	New
224712	2016 999 ForeSee Feedback Questions Form and Instruction	New
224447	2016 997 SEC IAPD Mobile 2017 Questionnaire - Final (1) Form and Instruction	New
224437	2016 996 DOJ OVC Mobile Browse 110916 Form and Instruction	New
224436	2016 995 DOJ OVC Email Newsletter DRAFT_mca comments FS 110416 Form and Instruction	New
224424	2016 994 DOJ OVC Desktop Browse 110916 Form and Instruction	New
224090	2016 993IRS Mobile 10-4-16 Form and Instruction	New
224089	2016 992DoD DANTES Desktop 9-20-2016 Form and Instruction	New
224084	20160 991USPTO Examiner Survey Draft Form and Instruction	New
224083	2016 990NIDCR Mobile 2016-10-03 Form and Instruction	New
224082	2016 989NIDCR Desktop 2016-10-03 Form and Instruction	New
223723	2016 987 NIH Grants ERA 2016 Questionnaire Draft 9.21 Form and Instruction	New
223451	2016 983CIA Careers Mobile_v2_8.10.16_resubmit Form and Instruction	New
223448	2016 984CIA Careers Desktop_v4_7.11.16_resubmit Form and Instruction	New
222596	2016 981 NIAMS Feedback Questionnaire_6 16 2016 Form and Instruction	New
222159	2016 980 USPTO FPNG Questionnaire_6.21.16 Form and Instruction	New
222154	2016 979 Questionnaire_Advisor Info_June 14 2016_ForeSee v2 Form and Instruction	New
222152	2015 975 AIDS Info CQ Changes 5.16.16_OMB Form and Instruction	New
221867	2015 978 NIST Qnaire - 5-25-16 NIST Form and Instruction	New
221865	2015 977 CQs for OMB - 6-9-16 Form and Instruction	New
221864	2015 976 CMS-CGS DME MAC B Questionnaire 6.9.16 Form and Instruction	New
221863	2015 975 AIDS Info CQ Changes 5.16.16_OMB Form and Instruction	New
221724	2015 974 DOJ - BJS Questionnaire_5 4 2016_Clean Form and Instruction	New
221723	2015 973 US Treasury v3 Questionnaire 5-12-16 Form and Instruction	New
221722	2015 972 FDA Email Survey OEA-OC 5.9.2016 Form and Instruction	New
221437	2015 971 Questionnaire_Advisor Info_Apr 29 2016_ForeSee Form and Instruction	New
221436	2015 970 NGS NOAA V3 - 04-19-2016 Form and Instruction	New
221435	2015 969 DRAFT - NPS.gov Mobile Questionnaire Form and Instruction	New
221040	2015 968 of Onboarding CAU MQ CQ 040516 Form and Instruction	New
221038	2015 967 of NRC QST V3_To Go Live 7.1.16_To OMB Form and Instruction	New
220610	2015 966 Questionnaire_DOI ONRR Desktop Browse_25 Feb 2016_DOT Form and Instruction	New
220609	2015 965 NIDDKv2_Browse Questionnaire_3.3.16 Form and Instruction	New
220608	2015 964 NIDDK_Mobile Questionnaire_3.3.16 Form and Instruction	New
220607	2015 963 myUSCIS Questionnaire 2-26-16FINAL Form and Instruction	New
220167	2016 960 DHS CIS v2 11-5-15FINAL Form and Instruction	New
220166	2016 961 NIDDK_Mobile_2.10.16 Form and Instruction	New
220165	2016 962 NIDDKv2_Browse Questionnaire_2.10.16_OMB Form and Instruction	New
219818	Copy of CDC Mobile NPIN - 2.1.2016 Form and Instruction	New
219817	Copy of DHS CIS v2 9-22-15DRAFT Form and Instruction	New
219816	RxNav NLM Questionnaire - 12.17.15_DOT Form and Instruction	New
219375	2015 954 NCI Mobile w Client Revisions Form and Instruction	New
219374	2015 955 NSA Desktop Browse MQ CQ FSR 1217 Form and Instruction	New
219373	2015 956 NSA Mobile Browse MQ CQ FSR 1217 Form and Instruction	New
219372	2015 957 Questionnaire Relaunch Updates Dec 2015 Final 12_15 (1) Form and Instruction	New
219371	2015 953 Call 2 FBMS 430 Report Form and Instruction	New
219269	2015 952 NCI Main_Qnaire New Model & CQs Nov-2015 Form and Instruction	New
219225	2015 951 HRSA Mobile Survey_11-12-2015 Form and Instruction	New
218971	2015 950 HRSA Enewsletter survey Form and Instruction	New
218552	2015 948 DHS CIS Mobile - 2015 949 SBA Learning Center Feedback Form and Instruction	New
218373	2015 943 IRS v3 - 2015 947 NARA Archives Form and Instruction	New
218202	2015 939 ACA AIR Readiness - 2015 942 NIJ v3 Form and Instruction	New
218038	2015 935 ABMC v2 - 2015 938 NPIN-CDC Premium Enterprise Form and Instruction	New
217884	2015 934 IRS ACH Direct Pay Mobile Form and Instruction	New
217867	2015 931 DOS Blogs - 2015 933 FDA Email Enterprise Survey Form and Instruction	New
217579	2015 930 UNICOR - v2 Form and Instruction	New
217331	2015 927 FTC Questionnaire_Feedback - 2015 929 PalmettoGBA JM Form and Instruction	New
216996	2015 927 FRA Questionnaire Form and Instruction	New
216689	2015 920 ANC_Questionnaire - 2015 926 USDA FNS Customer Service Standards Form and Instruction	New
215445	2015 919 MyUSCIS Questionnaire Form and Instruction	New
215444	2015 918 Fiscal Service Questionnaire Form and Instruction	New
215443	2015 917 Alumni v3 Questionnaire Form and Instruction	New
215442	2015 916 USDA FSIS Form and Instruction	New
215441	2015 915 TreasuryDirect Form and Instruction	New
215440	2015 914 Treasury MHA Renewal Form and Instruction	New
215439	2015 913 OJP OVC Form and Instruction	New
215438	2015 912 OJP OJJDP Form and Instruction	New
215436	2015 911 OJP Main Form and Instruction	New
215435	2015 910 OJP BJA Form and Instruction	New
215434	2015 909 NCJRS (OJP Program) Form and Instruction	New
215433	2015 908 Labor Union Reports Form and Instruction	New
215432	2015 907 Healthypeople Form and Instruction	New
215431	2015 906 Healthfinder Form and Instruction	New
215430	2015 905 DOT RITA Form and Instruction	New
215429	2015 904 GSA Auctions Form and Instruction	New
215428	2015 903 Disability.gov Form and Instruction	New
215427	2015 902 CMS Compare Form and Instruction	New
215426	2015 901 CMS - Cahaba GBA JJ MAC Form and Instruction	New
215425	2015 900 NASS Satisfaction Survey Form and Instruction	New
215424	2015 899 USPTO Mobile Form and Instruction	New
215423	2015 898 USPTO Form and Instruction	New
215422	2015 897 U.S. Department of Education Form and Instruction	New
215421	2015 896 OPM On Boarding Manager Form and Instruction	New
215420	2015 895 FBI Form and Instruction	New
215419	2015 894 EPA Regulations.gov Form and Instruction	New
215403	2014 893 NOAA Fisheries Satisfaction Survey Form and Instruction	New
215402	2014 892 APHIS Biotechnology Regulatory Services Survey Form and Instruction	New
215401	2014 891 TreasuryDirect v2 Form and Instruction	New
215400	2014 890 NHLBI Form and Instruction	New
215399	2014 889 Go4Life Mobile Form and Instruction	New
215398	2014 888 Recreation.gov Form and Instruction	New
215397	2014 887 NRC Form and Instruction	New
215396	2014 886 Maritime Administration Form and Instruction	New
215395	2014 885 HHS OCR Form and Instruction	New
215394	2014 884 DoD Tricare Form and Instruction	New
215392	2014 883 DHS CIS Citizenship Resource Center Form and Instruction	New
215391	2014 882 CMS Medicare Form and Instruction	New
215390	2014 881 Weather.gov Form and Instruction	New
215389	2014 880 SAMHSA Store Form and Instruction	New
215388	2014 879 SAMHSA Form and Instruction	New
215387	2014 878 NWHIC Womenshealth Form and Instruction	New
215386	2014 877 NPS Renewal Form and Instruction	New
215385	2014 876 NIH NIA Alzheimers Browse Form and Instruction	New
215384	2014 875 NHWIC Girlshealth Form and Instruction	New
215382	2014 874 NCI Team Science Toolkit Form and Instruction	New
215380	2014 873 NLM GHR_Questionnaire_10-17-14 Form and Instruction	New
215378	2014 872 FEC Web Browse 10-17-14 Form and Instruction	New
215374	2014 871 CG Questionnaire 10-15-2014 Form and Instruction	New
215328	2014 870 DoDEA Form and Instruction	New
215327	2014 869 PSC Email Form and Instruction	New
215326	2014 868 PSC Form and Instruction	New
215325	2014 867 OPM Six-Month Manager Form and Instruction	New
215324	2014 866 NRCS Satisfaction Survey Form and Instruction	New
215323	2014 865 NIAMS Form and Instruction	New
215322	2014 864 SSA Main Mobile Survey Form and Instruction	New
215321	2014 863 NIH Grants Form and Instruction	New
215319	2014 862 FEC Web Browse Form and Instruction	New
215317	2014 861 VA-My HealtheVet Form and Instruction	New
215315	2014 860 VA Form and Instruction	New
215313	2014 859 USITC Form and Instruction	New
215312	2014 858 USAJOBS Form and Instruction	New
215310	2014 857 UNICOR Form and Instruction	New
215308	2014 855 State Embassy Enterprise Form and Instruction	New
215304	2014 856 TTB Form and Instruction	New
215302	2014 854 OPM Post Completers Form and Instruction	New
215301	2014 853 OPM Managers Form and Instruction	New
215300	2014 852 OPM Completers Form and Instruction	New
215298	2014 851 OPM Abandoners Form and Instruction	New
215297	2014 850 FTC Onguardonline Form and Instruction	New
215296	2014 849 FTC Main Form and Instruction	New
215295	2014 848 FTC Complaintassistant Form and Instruction	New
215293	2014 847 FDIC Main Form and Instruction	New
215292	2014 846 FDIC Applications Form and Instruction	New
215264	2014 845 FAA Renewal Form and Instruction	New
215263	2014 844 DOJ NIJ Form and Instruction	New
215262	2014 843 CDC Form and Instruction	New
215261	2014 842 Careers State Form and Instruction	New
215260	2014 841 VHA Medical Centers Form and Instruction	New
215259	2014 840 VA VBA Form and Instruction	New
215258	2014 839 State ECA Alumni Form and Instruction	New
215257	2014 838 SSA Retirement Estimator Form and Instruction	New
215256	2014 837 SSA MySSA Form and Instruction	New
215254	2014 836 SSA Mobile Wage Form and Instruction	New
215253	2014 835 SSA Main Form and Instruction	New
215251	2014 834 SSA iClaim 2013 Form and Instruction	New
215250	2014 833 SSA iAppeals 2012 Form and Instruction	New
215249	2014 832 SSA iAppeal 2013 Form and Instruction	New
215248	2014 831 SSA Extra Help Form and Instruction	New
215247	2014 830 SSA Disability Report Form and Instruction	New
215243	2014 829 SSA Diagnostic formerly FAQ Form and Instruction	New
215241	2014 828 SSA BSO Form and Instruction	New
215239	2014 827 NLM Main Form and Instruction	New
215237	2014 826 NLM Clinical Trials SiteFeedback Form and Instruction	New
215235	2014 825 NLM Clinical Trials Form and Instruction	New
215233	2014 824 NIH NIAID Form and Instruction	New
215230	2014 822 DOTREAS-CDFI Fund Form and Instruction	New
215229	2014 822 DOTREAS-CDFI Fund Form and Instruction	New
215227	2014 821 DOT FRA Form and Instruction	New
215226	176010 Form and Instruction	New
215163	2014 819 DHS USCIS Form and Instruction	New
215162	2014 818 MyCareeratVA Form and Instruction	New
215161	2014 817 AIDSinfoMobile Form and Instruction	New
215160	2014 816 USPSTF Form and Instruction	New
215118	2014 815 SBA Form and Instruction	New
215117	2014 814 NIH NICHD Form and Instruction	New
215116	2014 813 Grants.gov Form and Instruction	New
215114	2014 812 DoD DMA ENT Form and Instruction	New
215113	2014 811 AHRQ Enterprise Form and Instruction	New
215112	2014 810 AHRQ Email Form and Instruction	New
215111	2014 809 USAJobs v2 6-27-14 Form and Instruction	New
215110	2014 808 VA eBenefits 5-13-14 Form and Instruction	New
215108	2014 807 Treasury Main 5-31-2014 Form and Instruction	New
215107	2014 806 Travel State 5-13-14 Form and Instruction	New
215106	2014 805 NFS Renewal 5-29-14 Form and Instruction	New
215105	2014 804 Forest Service Enterprise 5-31-14 Form and Instruction	New
215104	2014 803 BLS 5-31-14 Form and Instruction	New
215103	2014 802 Benefits.gov 5-31-14 Form and Instruction	New
215101	2014 801 US Mint Mobile Survey 6-3-14 Form and Instruction	New
215099	2014 800 PSC Milestone Survey 6-3-14 Form and Instruction	New
215098	2014 799 USGS Renewal Form and Instruction	New
215097	2014 798 NOAA NGS Renewal Form and Instruction	New
215096	2014 797 USPTO CC Survey 5-1-14 Form and Instruction	New
215094	2014 796 USDA FNS_ Premium Enterprise_ 5-1-14 Form and Instruction	New
215093	2014 795 Treasury OFS Renewal Form and Instruction	New
215092	2014 794 ABMC SiteGov Form and Instruction	New
215091	2014 793 FTC ComplaintAssistant survey Form and Instruction	New
215090	2014 792 PBGC CSAT Form and Instruction	New
215089	2014 791 NIST Form and Instruction	New
215088	2014 790 NIH Main Form and Instruction	New
215087	2014 789 NIH AIDSinfo Form and Instruction	New
215086	2014 788 NIH - NCCAM Form and Instruction	New
215072	2014 787 NIDCR Site Feedback Form and Instruction	New
215071	2014 786 NHTSA Renewal Form and Instruction	New
215070	2014 785 HRSA Renewal Form and Instruction	New
215069	2014 784 GSA Reginfo Form and Instruction	New
215068	2014 783 DOT FHWA Renewal 2013 3-30-2014 Form and Instruction	New
215067	2014 782 Architect of the US Capitol Tour Form and Instruction	New
215066	2014 781 Architect of the US Capitol Gift Shop Form and Instruction	New
215065	2014 780 IRS ACA 3-31-14 Form and Instruction	New
215064	2014 779 Application Manager_3-31-14 Form and Instruction	New
215063	2014 778 FMCSA 2-28-14 Form and Instruction	New
215062	2014 777 DOJ CrimeSolutions (OJP Program) _2-18-14 Form and Instruction	New
215061	2014 776 CIA _2-28-14 Form and Instruction	New
215060	2014 775 USPTO Mobile 2013_1-30-14 Form and Instruction	New
215059	2014 774 USDA FSIS Renewal 2013_1-31-14 Form and Instruction	New
215058	2014 773 TreasuryDirect 2013_1-31-14 Form and Instruction	New
215057	2014 772 Treasury MHA Renawal 2013_1-26-14 Form and Instruction	New
215056	2014 771 NASA Main Renewal 2013_1-5-13 Form and Instruction	New
215055	2014 770 Labor Union Reports Renewal 2013_1-31-14 Form and Instruction	New
215054	2014 769 HHS ODPHP Healthypeople 2013_1-6-14 Form and Instruction	New
215053	2014 768 HHS ODPHP Healthfinder 2013_1-6-14 Form and Instruction	New
215052	2014 767 GSA Govsales 2013_1-2-14 Form and Instruction	New
215048	2014 766 GSA Auctions 2013_1-2-14 Form and Instruction	New
215047	2014 765 DOT RITA Renewal 2013_1-5-14 Form and Instruction	New
215046	2014 764 DOT MAIN 2013_1-16-14v Form and Instruction	New
215044	2014 763 DOT Intranet 2013_1-16-14 Form and Instruction	New
215043	2014 762 DOJ OVC (OJP Program)_1-16-14 Form and Instruction	New
215042	2014 761 DOJ OJP Main (OJP Program) Form and Instruction	New
215041	2014 760 DOJ OJJDP (OJP Program) 2012_1-18-14 Form and Instruction	New
215038	2014 759 DOJ NCJRS (OJP Program) Form and Instruction	New
215036	DOJ BJA (OJP) PROGRAMMING) Form and Instruction	New
215034	Disability.gov Form and Instruction	New
215030	CMS Compare Enterprise Form and Instruction	New
215029	SSS Diagnostic Survey Form and Instruction	New

ICR Details

OMB Control No: 1090-0008	ICR Reference No: 201412-1090-002
Status: Historical Active	Previous ICR Reference No: 201110-1090-001
Agency/Subagency: DOI/ASPMB	Agency Tracking No: 1090-0008
Title: E-Government Website Customer Satisfaction Surveys
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 05/13/2015
	Date Received in OIRA: 03/18/2015
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2018	36 Months From Approved	05/31/2015
Responses	3,750,000	0	4,125,000
Time Burden (Hours)	156,250	0	171,875
Cost Burden (Dollars)	0	0	0

---

Abstract: 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.

---

Authorizing Statute(s): None

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 68688	11/18/2014
30-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 14154	03/18/2015
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 287

IC Title	Form No.	Form Name
2015 934 IRS ACH Direct Pay Mobile	934	2015 934 IRS ACH Direct Pay MOBILE
2014 788 NIH - NCCAM	1033	2014 788 NIH - NCCAM
2014 794 ABMC SiteGov	1039	2014 794 ABMC SiteGov
Disability.gov	1002	Disability.gov
2014 762 DOJ OVC (OJP Program)_1-16-14	1007	2014 762 DOJ OVC (OJP Program)_1-16-14
2014 863 NIH Grants	1108	2014 863 NIH Grants
2014 884 DoD Tricare	1129	2014 884 DoD Tricare
2014 889 Go4Life Mobile	1134	2014 889 Go4Life Mobile
2014 891 TreasuryDirect v2	1136	2014 891 TreasuryDirect v2
2015 906 Healthfinder	1151	2015 906 Healthfinder
2015 903 Disability.gov	1148	2015 903 Disability.gov
2015 917 Alumni v3 Questionnaire	1162	2015 917 Alumni v3 Questionnaire
2014 806 Travel State 5-13-14	1051	2014 806 Travel State 5-13-14
2014 808 VA eBenefits 5-13-14	1053	2014 808 VA eBenefits 5-13-14
2014 851 OPM Abandoners	1096	2014 851 OPM Abandoners
2014 856 TTB	1100	2014 856 TTB
2014 869 PSC Email	1114	2014 869 PSC Email
2014 791 NIST	1036	2014 791 NIST
2014 792 PBGC CSAT	1037	2014 792 PBGC CSAT
2014 793 FTC ComplaintAssistant survey	1038	2014 793 FTC ComplaintAssistant survey
2014 803 BLS 5-31-14	1048	2014 803 BLS 5-31-14
2014 785 HRSA Renewal	1030	2014 785 HRSA Renewal
2014 829 SSA Diagnostic formerly FAQ	1074	2014 829 SSA Diagnostic formerly FAQ
2014 872 FEC Web Browse 10-17-14	1117	2014 872 FEC Web Browse 10-17-14
2014 882 CMS Medicare	1127	2014 882 CMS Medicare
2014 827 NLM Main	1072	2014 827 NLM Main
2017 1003 USAJOBS Mobile new survey model	1003	2017 1003 USAJOBS Mobile new survey model
2015 971 Questionnaire_Advisor Info_Apr 29 2016_ForeSee	971	2015 971 Questionnaire_Advisor Info_Apr 29 2016_ForeSee
2015 948 DHS CIS Mobile - 2015 949 SBA Learning Center Feedback	948, 949	2015 948 DHS CIS Mobile ,   2015 949 SBA Learning Center Feedback
2015 964 NIDDK_Mobile Questionnaire_3.3.16	964	2015 964 NIDDK_Mobile Questionnaire_3.3.16
2015 963 myUSCIS Questionnaire 2-26-16FINAL	963	2015 963 myUSCIS Questionnaire 2-26-16FINAL
2016 962 NIDDKv2_Browse Questionnaire_2.10.16_OMB	962	2016 962 NIDDKv2_Browse Questionnaire_2.10.16_OMB
2017 1016 Smithsonian Mobile questionnaire 2017-04-19	1016	2017 1016 Smithsonian Mobile questionnaire 2017-04-19
2017 1017 USPTO Applicant Survey 4_18_17 FINAL	1017	2017 1017 USPTO Applicant Survey 4_18_17 FINAL
2017 1009 VA Vantage Point new survey Model 2.3.17 (1)	1009	2017 1009 VA Vantage Point new survey Model 2.3.17 (1)
2017 1015 TRICARE Mobile 4.10.2017	1015	2017 1015 TRICARE Mobile 4.10.2017
2017 1031 ANC Family Questionnaire	1031	2017 1031 ANC Family Questionnaire
2018 008 NHLBI_Feedback	008	2018 008 NHLBI_Feedback
2018 014 FTC Identity Theft Feedback Survey Template_Government	014	2018 014 FTC Identity Theft Feedback Survey Template_Government
2017 1051 Q_FEMA_Adjuster_Audience 2_20171025	1051	2017 1051 Q_FEMA_Adjuster_Audience 2_20171025
2018 007 CDSE FEVS Survey_02_27_2018	007	2018 007 CDSE FEVS Survey_02_27_2018
2015 930 UNICOR - v2	930	2015 930 UNICOR - v2
2015 931 DOS Blogs - 2015 933 FDA Email Enterprise Survey	931, 932, 933	2015 931 DOS Blogs ,   2015 932 EPA ,   2015 933 FDA Email Enterprise Survey
2014 890 NHLBI	1135	2014 890 NHLBI
2014 893 NOAA Fisheries Satisfaction Survey	1138	2014 893 NOAA Fisheries Satisfaction Survey
2014 760 DOJ OJJDP (OJP Program) 2012_1-18-14	1005	2014 760 DOJ OJJDP (OJP Program)
2014 766 GSA Auctions 2013_1-2-14	1011	2014 766 GSA Auctions 2013_1-2-14
2014 849 FTC Main	1094	2014 849 FTC Main
2015 911 OJP Main	1156	2015 911 OJP Main
2014 866 NRCS Satisfaction Survey	1111	2014 866 NRCS Satisfaction Survey
2014 861 VA-My HealtheVet	1106	2014 861 VA-My HealtheVet
2015 895 FBI	1140	2015 895 FBI
2015 896 OPM On Boarding Manager	1141	2015 896 OPM On Boarding Manager
2015 916 USDA FSIS	1161	2015 916 USDA FSIS
2014 850 FTC Onguardonline	1095	2014 850 FTC Onguardonline
2014 779 Application Manager_3-31-14	1024	2014 779 Application Manager_3-31-14
2014 767 GSA Govsales 2013_1-2-14	1012	2014 767 GSA Govsales 2013_1-2-14
2014 822 DOTREAS-CDFI Fund	1067	2014 822 DOTREAS-CDFI Fund
2014 873 NLM GHR_Questionnaire_10-17-14	1118	2014 873 NLM GHR_Questionnaire_10-17-14
2014 831 SSA Extra Help	1076	2014 831 SSA Extra Help
2014 838 SSA Retirement Estimator	1083	2014 838 SSA Retirement Estimator
2016 983CIA Careers Mobile_v2_8.10.16_resubmit	983	2016 983CIA Careers Mobile_v2_8.10.16_resubmit
2015 974 DOJ - BJS Questionnaire_5 4 2016_Clean	974	2015 974 DOJ - BJS Questionnaire_5 4 2016_Clean
2015 978 NIST Qnaire - 5-25-16 NIST	978	2015 978 NIST Qnaire - 5-25-16 NIST
2015 957 Questionnaire Relaunch Updates Dec 2015 Final 12_15 (1)	957	2015 957 Questionnaire Relaunch Updates Dec 2015 Final 12_15 (1)
2015 953 Call 2 FBMS 430 Report	953	2015 953 Call 2 FBMS 430 Report
2015 966 Questionnaire_DOI ONRR Desktop Browse_25 Feb 2016_DOT	966	2015 966 Questionnaire_DOI ONRR Desktop Browse_25 Feb 2016_DOT
2015 965 NIDDKv2_Browse Questionnaire_3.3.16	965	2015 965 NIDDKv2_Browse Questionnaire_3.3.16
2015 975 AIDS Info CQ Changes 5.16.16_OMB	975	2015 975 AIDS Info CQ Changes 5.16.16_OMB
2016 998 IRS Online Account Survey FINAL 12-2-16	998	2016 998 IRS Online Account Survey FINAL 12-2-16
2017 1010 MHA Mobile 2-21-2017 B	1010	2017 1010 MHA Mobile 2-21-2017 B
2017 1006 myRA Mobile Browse 2.13.17	1006	2017 1006 myRA Mobile Browse 2.13.17
2017 1027 Q_ANC_Functional_NationalDialogue_20170817	1027	2017 1027 Q_ANC_Functional_NationalDialogue_20170817
2017 1045 Q_IRS TDC Secure Messaging_20171109	1045	2017 1045 Q_IRS TDC Secure Messaging_20171109
2018 013 Q_USMint_Web_Browse_20180709 MAKE CQ CHANGE	013	2018 013 Q_USMint_Web_Browse_20180709 MAKE CQ CHANGE
2018 005 SEC Investor.gov Mobile Browse	005	2018 005 SEC Investor.gov Mobile Browse
2018 009 Q_DoDDMA_Web_Browse_v2_20180316	009	2018 009 Q_DoDDMA_Web_Browse_v2_20180316
2014 790 NIH Main	1035	2014 790 NIH Main
2014 796 USDA FNS_ Premium Enterprise_ 5-1-14	1041	2014 796 USDA FNS_ Premium Enterprise_ 5-1-14
2014 763 DOT Intranet 2013_1-16-14	1008	2014 763 DOT Intranet 2013_1-16-14
2014 764 DOT MAIN 2013_1-16-14v	1009	2014 764 DOT MAIN 2013_1-16-14
2014 847 FDIC Main	1092	2014 847 FDIC Main
2015 905 DOT RITA	1150	2015 905 DOT RITA
2014 881 Weather.gov	1126	2014 881 Weather.gov
2015 898 USPTO	1143	2015 898 USPTO
2015 899 USPTO Mobile	1144	2015 899 USPTO Mobile
2015 914 Treasury MHA Renewal	1159	2015 914 Treasury MHA Renewal
2014 801 US Mint Mobile Survey 6-3-14	1046	2014 801 US Mint Mobile Survey 6-3-14
2014 811 AHRQ Enterprise	1056	2014 811 AHRQ Enterprise
2014 812 DoD DMA ENT	1057	2014 812 DoD DMA ENT
2014 814 NIH NICHD	1059	2014 814 NIH NICHD
2014 795 Treasury OFS Renewal	1040	2014 795 Treasury OFS Renewal
2014 772 Treasury MHA Renawal 2013_1-26-14	1017	2014 772 Treasury MHA Renawal 2013_1-26-14
2014 783 DOT FHWA Renewal 2013 3-30-2014	1028	2014 783 DOT FHWA Renewal 2013 3-30-2014
2014 769 HHS ODPHP Healthypeople 2013_1-6-14	1014	2014 769 HHS ODPHP Healthypeople 2013_1-6-14
2014 787 NIDCR Site Feedback	1032	2014 787 NIDCR Site Feedback
2014 826 NLM Clinical Trials SiteFeedback	1071	2014 826 NLM Clinical Trials SiteFeedback
2014 828 SSA BSO	1073	2014 828 SSA BSO
2014 836 SSA Mobile Wage	1081	2014 836 SSA Mobile Wage
2014 840 VA VBA	1085	2014 840 VA VBA
2014 874 NCI Team Science Toolkit	1119	2014 874 NCI Team Science Toolkit
2017 1004 SAVE v2 Qts 12-22-16FINAL	1004	2017 1004 SAVE v2 Qts 12-22-16FINAL
2015 943 IRS v3 - 2015 947 NARA Archives	944, 945, 946, 947, 943	2015 943 IRS v3 Survey ,   2015 944 NOAA NESDID Questionnaire ,   2015 945 USITC v3 ,   2015 946 IRS Spanish v2 ,   2015 947 NARA Archives
2016 993IRS Mobile 10-4-16	993	2016 993IRS Mobile 10-4-16
RxNav NLM Questionnaire - 12.17.15_DOT	958	Copy of RxNav NLM Questionnaire - 12.17.15_DOT
2017 1018 DHA Customer Service Community intranet	1018	2017 1018 DHA Customer Service Community intranet
2017 1005 SEC.gov Mobile Questionnaire-SEC FINAL	1005	2017 1005 SEC.gov Mobile Questionnaire-SEC FINAL
2017 1033 Q_NSF_Web_Browse_20170109	1033	2017 1033 Q_NSF_Web_Browse_20170109
2017 1032 Q_OPMUSAJOBS_Web_Browse_20170919_DOT (1)	1032	2017 1032 Q_OPMUSAJOBS_Web_Browse_20170919_DOT (1)
2017 1046 Q_E-Verify v2_Web_Browse_20171121	1046	2017 1046 Q_E-Verify v2_Web_Browse_20171121
2017 1034 Palmetto GBA Railroad Desktop Informational_10.10.17	1034	2017 1034 Palmetto GBA Railroad Desktop Informational_10.10.17
2018 006 Q_EPA_Web_Browse_20180308	006	2018 006 Q_EPA_Web_Browse_20180308
2014 819 DHS USCIS	1064	2014 819 DHS USCIS
2014 768 HHS ODPHP Healthfinder 2013_1-6-14	1013	2014 768 HHS ODPHP Healthfinder 2013_1-6-14
2014 868 PSC	1113	2014 868 PSC
2014 852 OPM Completers	1097	2014 852 OPM Completers
2014 857 UNICOR	1102	2014 857 UNICOR
2014 878 NWHIC Womenshealth	1123	2014 878 NWHIC Womenshealth
2015 913 OJP OVC	1158	2015 913 OJP OVC
2014 776 CIA _2-28-14	1021	2014 776 CIA _2-28-14
2014 777 DOJ CrimeSolutions (OJP Program) _2-18-14	1022	2014 777 DOJ CrimeSolutions (OJP Program) _2-18-14
2014 871 CG Questionnaire 10-15-2014	1116	2014 871 CG Questionnaire 10-15-2014
2014 834 SSA iClaim 2013	1079	2014 834 SSA iClaim 2013
2014 835 SSA Main	1080	2014 835 SSA Main
2014 843 CDC	1088	2014 843 CDC
2017 1021 TRICARE Publications Functional 5.18.17	1021	2017 1021 TRICARE Publications Functional 5.18.17
2017 1000 USPTO Applicant Survey 2016.12.05	1000	2017 1000 USPTO Applicant Survey 2016.12.05
2017 1001 DLA Desktop Browse 2016.12.27	1001	2017 1001 DLA Desktop Browse 2016.12.27
2016 984CIA Careers Desktop_v4_7.11.16_resubmit	984	2016 984CIA Careers Desktop_v4_7.11.16_resubmit
2015 968 of Onboarding CAU MQ CQ 040516	968	2015 968 of Onboarding CAU MQ CQ 040516
2015 967 of NRC QST V3_To Go Live 7.1.16_To OMB	967	2015 967 of NRC QST V3_To Go Live 7.1.16_To OMB
2015 935 ABMC v2 - 2015 938 NPIN-CDC Premium Enterprise	936, 937, 938, 935	CDC Enterprise Survey ,   CDC Mobile ,   CDC Premium Enterprise Questionnaire ,   2015 935 ABMC v2
2015 956 NSA Mobile Browse MQ CQ FSR 1217	956	2015 956 NSA Mobile Browse MQ CQ FSR 1217
2016 992DoD DANTES Desktop 9-20-2016	992	2016 992DoD DANTES Desktop 9-20-2016
2016 960 DHS CIS v2 11-5-15FINAL	960	2016 960 DHS CIS v2 11-5-15FINAL
Copy of CDC Mobile NPIN - 2.1.2016	959	Copy of CDC Mobile NPIN - 2.1.2016
2016 994 DOJ OVC Desktop Browse 110916	994	2016 994 DOJ OVC Desktop Browse 110916
2017 1008 FBI V4 Questionnaire 1.27.17	1008	2017 1008 FBI V4 Questionnaire 1.27.17
2017 1048 Q_FEMA_Audience 3_12.15.2017	1048	2017 1048 Q_FEMA_Audience 3_12.15.2017
2018 010 Q_PSCNewSecuirutyFeedbackSurvey_Web_Browse_20180507	010	2018 010 Q_PSCNewSecuirutyFeedbackSurvey_Web_Browse_20180507
2015 920 ANC_Questionnaire - 2015 926 USDA FNS Customer Service Standards	920, 921, 922, 923, 924, 925, 926	2015 920 ANC_Web Questionnaire ,   2015 921 Application Manager CAU Questionnaire ,   2015 922 CIA Careers Mobile ,   2015 FDA Blog ,   2015 924 NIH Questionnaire ,   2015 925 Tricare Survvey ,   2015 926 USDA FNS Customer Service Standards
2014 892 APHIS Biotechnology Regulatory Services Survey	1137	2014 892 APHIS Biotechnology Regulatory Services Survey
SSS Diagnostic Survey	1000	SSA Diagnostic Survey
CMS Compare Enterprise	1001	CMS Compare Enterprise
2014 759 DOJ NCJRS (OJP Program)	1004	2014 759 DOJ NCJRS (OJP Program)
2014 761 DOJ OJP Main (OJP Program)	1006	2014 761 DOJ OJP Main (OJP Program) 2012_1-15-14
2014 817 AIDSinfoMobile	1062	2014 817 AIDSinfoMobile
2014 818 MyCareeratVA	1063	2014 818 MyCareeratVA
2014 864 SSA Main Mobile Survey	1109	2014 864 SSA Main Mobile Survey
2014 860 VA	1105	2014 860 VA
2014 870 DoDEA	1115	2014 870 DoDEA
2014 885 HHS OCR	1130	2014 885 HHS OCR
2014 879 SAMHSA	1124	2014 879 SAMHSA
2014 887 NRC	1132	2014 887 NRC
2015 904 GSA Auctions	1149	2015 904 GSA Auctions
2015 918 Fiscal Service Questionnaire	1163	2015 918 Fiscal Service Questionnaire
2015 919 MyUSCIS Questionnaire	1164	2015 919 MyUSCIS Questionnaire
2014 855 State Embassy Enterprise	1101	2014 855 State Embassy Enterprise
2014 802 Benefits.gov 5-31-14	1047	2014 802 Benefits.gov 5-31-14
2014 809 USAJobs v2 6-27-14	1054	2014 809 USAJobs v2 6-27-14
2014 775 USPTO Mobile 2013_1-30-14	1020	2014 775 USPTO Mobile 2013_1-30-14
2014 784 GSA Reginfo	1029	2014 784 GSA Reginfo
2014 821 DOT FRA	1066	2014 821 DOT FRA
2014 824 NIH NIAID	1069	2014 824 NIH NIAID
2014 830 SSA Disability Report	1075	2014 830 SSA Disability Report
2017 1019 DHA MSO-VSO Outreach Functional 5.23.17	1019	2017 1019 DHA MSO-VSO Outreach Functional 5.23.17
2016 990NIDCR Mobile 2016-10-03	990	2016 990NIDCR Mobile 2016-10-03
2015 970 NGS NOAA V3 - 04-19-2016	970	2015 970 NGS NOAA V3 - 04-19-2016
2015 977 CQs for OMB - 6-9-16	977	2015 977 CQs for OMB - 6-9-16
2015 976 CMS-CGS DME MAC B Questionnaire 6.9.16	976	2015 976 CMS-CGS DME MAC B Questionnaire 6.9.16
2016 980 USPTO FPNG Questionnaire_6.21.16	980	2016 980 USPTO FPNG Questionnaire_6.21.16
2016 981 NIAMS Feedback Questionnaire_6 16 2016	981	2016 981 NIAMS Feedback Questionnaire_6 16 2016
2015 952 NCI Main_Qnaire New Model & CQs Nov-2015	952	2015 952 NCI Main_Qnaire New Model & CQs Nov-2015
2015 973 US Treasury v3 Questionnaire 5-12-16	973	2015 973 US Treasury v3 Questionnaire 5-12-16
2016 996 DOJ OVC Mobile Browse 110916	996	2016 996 DOJ OVC Mobile Browse 110916
2017 1024 Medicaid.gov first draft questionnaire 6.5.17	1024	2017 1024 Medicaid.gov first draft questionnaire 6.5.17
2017 1012 DOD Slam 03-15-2017	1012	2017 1012 DOD Slam 03-15-2017
2017 1028 NOAA Fisheries Desktop Informational 08282017	1028	2017 1028 NOAA Fisheries Desktop Informational 08282017
2017 1035 Q_DOSCareers_Mobile_App_20171004	1035	2017 1035 Q_DOSCareers_Mobile_App_20171004
2017 1025 Q_FEMA - NFIP_Adjuster Functional_20170901	1025	2017 1025 Q_FEMA - NFIP_Adjuster Functional_20170901
2014 798 NOAA NGS Renewal	1043	2014 798 NOAA NGS Renewal
2014 800 PSC Milestone Survey 6-3-14	1045	2014 800 PSC Milestone Survey 6-3-14
2014 888 Recreation.gov	1133	2014 888 Recreation.gov
DOJ BJA (OJP) PROGRAMMING)	1003	DOJ BJA (OJP PROGRAM)
2014 816 USPSTF	1061	2014 816 USPSTF
2014 846 FDIC Applications	1091	2014 846 FDIC Applications
2014 862 FEC Web Browse	1107	2014 862 FEC Web Browse
2015 907 Healthypeople	1152	2015 907 Healthypeople
2015 908 Labor Union Reports	1153	2015 908 Labor Union Reports
2015 910 OJP BJA	1155	2015 910 OJP BJA
2015 897 U.S. Department of Education	1142	2015 897 U.S. Department of Education
2014 867 OPM Six-Month Manager	1112	2014 867 OPM Six-Month Manager
2014 771 NASA Main Renewal 2013_1-5-13	1016	2014 771 NASA Main Renewal 2013_1-5-13
2014 773 TreasuryDirect 2013_1-31-14	1018	2014 773 TreasuryDirect 2013_1-31-14
2014 774 USDA FSIS Renewal 2013_1-31-14	1019	2014 774 USDA FSIS Renewal 2013_1-31-14
2014 778 FMCSA 2-28-14	1023	2014 778 FMCSA 2-28-14
2014 781 Architect of the US Capitol Gift Shop	1026	2014 781 Architect of the US Capitol Gift Shop
2014 825 NLM Clinical Trials	1070	2014 825 NLM Clinical Trials
2014 876 NIH NIA Alzheimers Browse	1121	2014 876 NIH NIA Alzheimers Browse
2014 877 NPS Renewal	1122	2014 877 NPS Renewal
176010	1065	2014 820 DHS USCIS Spanish
2014 833 SSA iAppeals 2012	1078	2014 833 SSA iAppeals 2012
2014 842 Careers State	1087	2014 842 Careers State
2017 1003 USAJOBS Mobile new survey model	1003	2017 1003 USAJOBS Mobile new survey model
2016 987 NIH Grants ERA 2016 Questionnaire Draft 9.21	987	2016 987 NIH Grants ERA 2016 Questionnaire Draft 9.21
2016 989NIDCR Desktop 2016-10-03	989	2016 989NIDCR Desktop 2016-10-03
2015 969 DRAFT - NPS.gov Mobile Questionnaire	969	2015 969 DRAFT - NPS.gov Mobile Questionnaire
2016 979 Questionnaire_Advisor Info_June 14 2016_ForeSee v2	979	2016 979 Questionnaire_Advisor Info_June 14 2016_ForeSee v2
2015 950 HRSA Enewsletter survey	9550	950 HRSA enewsletter
2015 954 NCI Mobile w Client Revisions	954	2015 954 NCI Mobile w Client Revisions
2015 955 NSA Desktop Browse MQ CQ FSR 1217	955	2015 955 NSA Desktop Browse MQ CQ FSR 1217
2015 951 HRSA Mobile Survey_11-12-2015	951	2015 951 HRSA Mobile Survey_11-12-2015
2016 999 ForeSee Feedback Questions	999	2016 999 ForeSee Feedback Questions
2017 1013 USAJOBS Mobile 3.21.17	1013	2017 1013 USAJOBS Mobile 3.21.17
2017 1011 SEC.gov Mobile Questionnaire-SEC FINAL	1011	2017 1011 SEC.gov Mobile Questionnaire-SEC FINAL
2017 1030 NIH NHLBI Desktop Informational 8.16.17	1030	2017 1030 NIH NHLBI Desktop Informational 8.16.17
2017 1026 NOAA Fisheries Mobile Bowse	1026	2017 1026 NOAA Fisheries Mobile Bowse
2018 012 DHA Feedback Questions_ OMB Approval (1)	012	2018 012 DHA Feedback Questions_ OMB Approval (1)
2018 004 NIH_Feedback	004	2018 004 NIH_Feedback
2017 1049 Q_NSF_Web_Browse_20171117	1049	2017 1049 Q_NSF_Web_Browse_20171117
2014 797 USPTO CC Survey 5-1-14	1042	2014 797 USPTO CC Survey 5-1-14
2014 765 DOT RITA Renewal 2013_1-5-14	1010	2014 765 DOT RITA Renewal 2013_1-5-14
2014 848 FTC Complaintassistant	1093	2014 848 FTC Complaintassistant
2014 865 NIAMS	1110	2014 865 NIAMS
2014 854 OPM Post Completers	1099	2014 854 OPM Post Completers
2015 894 EPA Regulations.gov	1139	2015 894 EPA Regulations.gov
2015 901 CMS - Cahaba GBA JJ MAC	1146	2015 901 CMS - Cahaba GBA JJ MAC
2015 912 OJP OJJDP	1157	2015 912 OJP OJJDP
2014 807 Treasury Main 5-31-2014	1052	2014 807 Treasury Main 5-31-2014
2014 786 NHTSA Renewal	1031	2014 786 NHTSA Renewal
2014 780 IRS ACA 3-31-14	1025	2014 780 IRS ACA 3-31-14
2014 782 Architect of the US Capitol Tour	1027	2014 782 Architect of the US Capitol Tour
2014 810 AHRQ Email	1055	2014 810 AHRQ Email
2014 813 Grants.gov	1058	2014 813 Grants.gov
2015 902 CMS Compare	1147	2015 902 CMS Compare
2015 927 FRA Questionnaire	927	2015 927 FRA Questionnaire
2014 822 DOTREAS-CDFI Fund	1068	2014 822 DOTREAS-CDFI Fund
2014 832 SSA iAppeal 2013	1077	2014 832 SSA iAppeal 2013
2014 837 SSA MySSA	1082	2014 837 SSA MySSA
2014 845 FAA Renewal	1090	2014 845 FAA Renewal
2017 1020 DHA Admiral Functional 5.24.17	1020	2017 1020 DHA Admiral Functional 5.24.17
2017 1002 IRS Online Account Survey 12-9-16	1002	2017 1002 IRS Online Account Survey 12-9-16
2015 975 AIDS Info CQ Changes 5.16.16_OMB	975	2015 975 AIDS Info CQ Changes 5.16.16_OMB
2016 961 NIDDK_Mobile_2.10.16	961	2016 961 NIDDK_Mobile_2.10.16
2015 972 FDA Email Survey OEA-OC 5.9.2016	972	2015 972 FDA Email Survey OEA-OC 5.9.2016
2016 995 DOJ OVC Email Newsletter DRAFT_mca comments FS 110416	995	2016 995 DOJ OVC Email Newsletter DRAFT_mca comments FS 110416
2017 1007 myRA Desktop Browse 2.13.17	1007	2017 1007 myRA Desktop Browse 2.13.17
2017 1014 Health.mil Questionnaire_Draft 2_QAP Edits	1014	2017 1014 Health.mil Questionnaire_Draft 2_QAP Edits
2017 1040 USDA NAL Browse 2017	1040	2017 1040 USDA NAL Browse 2017
2017 1039 Q_TreasuryDirect_Browse_20171009	1039	2017 1039 Q_TreasuryDirect_Browse_20171009
2017 1053 USFS-Visitor-Map-Feedback-Survey-1-16-2018 (1)	1053	2017 1053 USFS-Visitor-Map-Feedback-Survey-1-16-2018 (1)
2018 002 Q_PalmettoGBA_JJ_Web_Browse_20180108	002	2018 002 Q_PalmettoGBA_JJ_Web_Browse_20180108
2018 015 Q_USMint_Mobile_Browse_20180709	015	2018 015 Q_USMint_Mobile_Browse_20180709
2018 001 SBA Browse V2 - 01-05-2018	001	2018 001 SBA Browse V2 - 01-05-2018
2017 1044 Q_myE-Verify-Self Check v2_Web_Browse_20171121	1044	2017 1044 Q_myE-Verify-Self Check v2_Web_Browse_20171121
2014 799 USGS Renewal	1044	2014 799 USGS Renewal
2014 841 VHA Medical Centers	1086	2014 841 VHA Medical Centers
2014 858 USAJOBS	1103	2014 858 USAJOBS
2015 909 NCJRS (OJP Program)	1154	2015 909 NCJRS (OJP Program)
2015 939 ACA AIR Readiness - 2015 942 NIJ v3	939, 941, 940, 942	2015 939 ACA AIR Readiness ,   2015 940 ACA Employer ,   2015 941 DHS CRS v2 ,   2015 942 NIJ V#
2014 853 OPM Managers	1098	2014 853 OPM Managers
2014 859 USITC	1104	2014 859 USITC
2014 875 NHWIC Girlshealth	1120	2014 875 NHWIC Girlshealth
2014 880 SAMHSA Store	1125	2014 880 SAMHSA Store
2014 886 Maritime Administration	1131	2014 886 Maritime Administration
2015 900 NASS Satisfaction Survey	1145	2015 900 NASS Satisfaction Survey
2015 915 TreasuryDirect	1160	2015 915 TreasuryDirect
2014 804 Forest Service Enterprise 5-31-14	1049	2014 804 Forest Service Enterprise 5-31-14
2014 789 NIH AIDSinfo	1034	2014 789 NIH AIDSinfo
2014 805 NFS Renewal 5-29-14	1050	2014 805 NFS Renewal 5-29-14
2014 770 Labor Union Reports Renewal 2013_1-31-14	1015	2014 770 Labor Union Reports Renewal 2013_1-31-14
2014 815 SBA	1060	2014 815 SBA
2014 883 DHS CIS Citizenship Resource Center	1128	2014 883 DHS CIS Citizenship Resource Center
2014 839 State ECA Alumni	1084	2014 839 State ECA Alumni
2014 844 DOJ NIJ	1089	2014 844 DOJ NIJ
20160 991USPTO Examiner Survey Draft	991	20160 991USPTO Examiner Survey Draft
2015 927 FTC Questionnaire_Feedback - 2015 929 PalmettoGBA JM	927, 928, 929	2015 927 FTC Questionnaire_Feedback ,   2015 928 HRSA VA ,   2015 929 PalmettoGBA JM
Copy of DHS CIS v2 9-22-15DRAFT	959	Copy of DHS CIS v2 9-22-15DRAFT
2016 997 SEC IAPD Mobile 2017 Questionnaire - Final (1)	997	2016 997 SEC IAPD Mobile 2017 Questionnaire - Final (1)
2017 1032 Q_FEMA - NFIP_Claim Filing Functional_20170829	1032	2017 1032 Q_FEMA - NFIP_Claim Filing Functional_20170829
2017 1022 FBI Mobile Questionnaire	1022	2017 1022 FBI Mobile Questionnaire
2017 1029 NIH-NCCIH Desktop Browse Questionnaire_081817	1029	2017 1029 NIH-NCCIH Desktop Browse Questionnaire_081817
2017 1047 Q_USCourts_Mobile Questionnaire 2017_11_01	1047	2017 1047 Q_USCourts_Mobile Questionnaire 2017_11_01
2018 011 FTC Spanish Consumidor_Feedback Survey_06.01.2018	011	2018 011 FTC Spanish Consumidor_Feedback Survey_06.01.2018
2017 1050 Q_BLS_Web_Browse_20171207	1050	2017 1050 Q_BLS_Web_Browse_20171207
2017 1052 Q_FEMA_Audience 2_12.15.2017	1052	2017 1052 Q_FEMA_Audience 2_12.15.2017
2018 003 ANC National Dialogue V2	003	2018 003 ANC National Dialogue V2

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	3,750,000	4,125,000	0	0	-375,000	0
Annual Time Burden (Hours)	156,250	171,875	0	0	-15,625	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $8,178,080

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 03/18/2015

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