Form 1073 2014 828 SSA BSO
E-Government Website Customer Satisfaction Surveys
2014 828 SSA BSO.xlsx
2014 828 SSA BSO
OMB: 1090-0008
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 1090-0008 can be found here:
Document [xlsx]
Download: xlsx | pdf
Current Custom Qsts v2
Current CQs v2 (7-10-14)
Current Custom Qsts
Element Rotations
Overview
Proposed v3 Model QstsCurrent Custom Qsts v2
Current CQs v2 (7-10-14)
Current Custom Qsts
Element Rotations
Sheet 1: Proposed v3 Model Qsts
| Model Instance Name: | |||||||||
| SSA BSO v2 | 
|
||||||||
| MID: | JsxgcQkkV0I5dxF8JE1lQg4C | ||||||||
| Partitioned No | Element rotation scheme has been added | ||||||||
| FPI Included(Y/N)? | |||||||||
| NOTE: All non-partitioned surveys will NOT be imputed and the elements will be rotated as a default unless otherwise specified and approved by Research. | |||||||||
| Date: | 6/12/2013 | ||||||||
| SSA BSO v2 | |||||||||
| Model questions utilize the ACSI methodology to determine scores and impacts | |||||||||
| ELEMENTS (drivers of satisfaction) | CUSTOMER SATISFACTION | FUTURE BEHAVIORS | FPI | ||||||
| MQ Label | MQ Label | MQ Label | Y? | ||||||
| Content (1=Poor, 10=Excellent, Don't Know) | Satisfaction | Return (1=Very Unlikely, 10=Very Likely) | |||||||
| 1 | Content - Accuracy | Please rate the accuracy of information in this application. | 13 | Satisfaction - Overall | What is your overall satisfaction with this application? (1=Very Dissatisfied, 10=Very Satisfied) |
16 | Return | How likely are you to return to this application? | |
| 2 | Content - Quality | Please rate the quality of information in this application. | 14 | Satisfaction - Expectations | How well does this application meet your expectations? (1=Falls Short, 10=Exceeds) |
Recommend (1=Very Unlikely, 10=Very Likely) | |||
| 3 | Content - Freshness | Please rate the freshness of content in this application. | 15 | Satisfaction - Ideal | How does this application compare to your idea of an ideal application? (1=Not Very Close, 10=Very Close) |
17 | Recommend | How likely are you to recommend this application to someone else? | |
| Look and Feel (1=Poor, 10=Excellent, Don't Know) | |||||||||
| 4 | Look and Feel - Appeal | Please rate the visual appeal of this application. | |||||||
| 5 | Look and Feel - Balance | Please rate the balance of graphics and text in this application. | |||||||
| 6 | Look and Feel - Readability | Please rate the readability of the pages in this application. | |||||||
| Site Performance (1=Poor, 10=Excellent, Don't Know) | |||||||||
| 7 | Site Performance - Loading | Please rate how quickly pages load in this application. | |||||||
| 8 | Site Performance - Consistency | Please rate the consistency of speed from page to page in this application. | 
|
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| 9 | Site Performance - Errors | Please rate the ability to load pages without getting error messages in this application. | |||||||
| Plain Language (1=Poor, 10=Excellent, Don't Know) | |||||||||
| 10 | Plain Language - Clear | Please rate the clarity of the wording in this appliocation. | |||||||
| 11 | Plain Language - Understandable | Please rate how well you understand the wording in this application. | |||||||
| 12 | Plain Language - Concise | Please rate this application on its use of short, clear sentences. | |||||||
Sheet 2: Current Custom Qsts v2
| Model Instance Name: | ||||||||||||||||
| SSA BSO v2 | underlined & italicized: RE-ORDER | |||||||||||||||
| MID: | JsxgcQkkV0I5dxF8JE1lQg4C | pink: ADDITION | ||||||||||||||
| Date: | 1/13/2011 | blue + -->: REWORDING | ||||||||||||||
| violet (bold): SKIP-LOGIC | ||||||||||||||||
| SSA BSO v2 CUSTOM QUESTION LIST | ||||||||||||||||
| QID | Skip Logic Label | Question Text | Answer Choices (limited to 50 characters) |
Skip to | Type (select from list) | Single or Multi | Required Y/N |
Group Types | Labels | |||||||
| LNH5306 | How did you learn about Business Services Online? | SSA Speaker at a Conference | Radio Button One Up Vertical | Single | Y | OPS Group | How Did You Hear | Types | ||||||||
| Direct Mail I Received from Social Security | Column1 | |||||||||||||||
| Booth at an accounting/payroll conference | Open-ended | |||||||||||||||
| Webcast | Text Field – limited to 100 characters | |||||||||||||||
| SSA/IRS Reporter | Text Area – no character limit | |||||||||||||||
| CPA/Accountant | Dropdown (Select-one) | |||||||||||||||
| Other Direct Contact Initiated by Social Security | Radio Button One Up Vertical | |||||||||||||||
| Professional Association | Radio Button Two Up Vertical | |||||||||||||||
| IRS Forms, Instructions & Publications | ||||||||||||||||
| Social media (e.g. Facebook, Twitter, blog, etc.) | ||||||||||||||||
| Other (please specify) | A | Radio Button Three Up Vertical | ||||||||||||||
| LNH5307 | A | Other_how did you hear | Text Field – limited to 100 characters | Single | N | OPS Group | OE - How Did You Hear | |||||||||
| LNH5308 | Which services of Business Services Online did you use today? (Choose all that apply) | W-2 Online | D | Checkbox One Up Vertical | Multi | Y | Skip Logic Group | Services Used | Radio Button Scale Has Don’t Know | |||||||
| W-2c Online | D | Radio Button Scale No Don’t Know | ||||||||||||||
| View Submission Status | D | Checkbox One Up Vertical | ||||||||||||||
| View Employer Report Status | D | Checkbox Two Up Vertical | ||||||||||||||
| View Errors | D | Checkbox Three Up Vertical | ||||||||||||||
| View Notices | D | Select-multiple Show Two | ||||||||||||||
| SSN Verification | D | Select-multiple Show Three | ||||||||||||||
| Registration Services | D | Select-multiple Show Four | ||||||||||||||
| Resubmission Services | D | |||||||||||||||
| Consent-Based Services | D | |||||||||||||||
| Appointed Representative Services | D | |||||||||||||||
| Representative Payee Accounting Report | A, B, C | |||||||||||||||
| LNH5309 | A | How satisfied overall were you with the payee accounting form online? | 1=Very dissatisfied | Radio Button Scale No Don’t Know | Single | Y | Skip Logic Group | Payee Acct Form | ||||||||
| 2 | ||||||||||||||||
| 3 | ||||||||||||||||
| 4 | ||||||||||||||||
| 5 | ||||||||||||||||
| 6 | ||||||||||||||||
| 7 | ||||||||||||||||
| 8 | ||||||||||||||||
| 9 | ||||||||||||||||
| 10=Very satisfied | ||||||||||||||||
| LNH5310 | B | How likely are you to return to the representative payee accounting form online for your next accounting report? | 1=Not very likely | Radio Button Scale No Don’t Know | Single | Y | Skip Logic Group | Return to Payee Acct | ||||||||
| 2 | ||||||||||||||||
| 3 | ||||||||||||||||
| 4 | ||||||||||||||||
| 5 | ||||||||||||||||
| 6 | ||||||||||||||||
| 7 | ||||||||||||||||
| 8 | ||||||||||||||||
| 9 | ||||||||||||||||
| 10=Very likely | ||||||||||||||||
| LNH5311 | C | What specific improvements would you like to see in Internet Representative Payee Accounting? | Text Field – limited to 100 characters | Single | N | Skip Logic Group | Improve Internet Rep Payee Acct | |||||||||
| LNH5312 | D | What specific improvements would you like to see in Business Services Online? | Text Field – limited to 100 characters | Single | N | Skip Logic Group | Improve Business Services | |||||||||
| LNH5313 | How would you describe your role? (Select all that apply) | Representative payee | Checkbox One Up Vertical | Multi | Y | Skip Logic Group | Primary Business | |||||||||
| Appointed Representative | Z | |||||||||||||||
| Accountant/CPA | Z | |||||||||||||||
| Administrative Assistant | Z | |||||||||||||||
| Accounts Payable/HR | Z | |||||||||||||||
| Attorney | Z | |||||||||||||||
| Bookkeeper | Z | |||||||||||||||
| Business Manager | Z | |||||||||||||||
| Business Owner | Z | |||||||||||||||
| Church Officer | Z | |||||||||||||||
| Clerical Staff | Z | |||||||||||||||
| Corporate Officer | Z | |||||||||||||||
| Finance Staff | Z | |||||||||||||||
| Office Manager | Z | |||||||||||||||
| Other (please specify) | A, Z | |||||||||||||||
| LNH5314 | A | Other_describe | Text Area – no character limit | Single | N | Skip Logic Group | OE - Describe | |||||||||
| LNH5315 | Z | Please describe the size of your business, based on your number of employees/workers, including yourself. | Micro (10 or less) | Radio Button One Up Vertical | Single | Y | Skip Logic Group | Size of Business | ||||||||
| Small (11-50) | ||||||||||||||||
| Medium (51-250) | ||||||||||||||||
| Large (more than 250) | ||||||||||||||||
| LNH5316 | Rate the ease with which you located the Business Services Online website? (1 = Very Difficult; 10 = Very Easy) | 1 = Very Difficult | Radio Button Scale No Don’t Know | Single | Y | Ease to Locate | ||||||||||
| 2 | ||||||||||||||||
| 3 | ||||||||||||||||
| 4 | ||||||||||||||||
| 5 | ||||||||||||||||
| 6 | ||||||||||||||||
| 7 | ||||||||||||||||
| 8 | ||||||||||||||||
| 9 | ||||||||||||||||
| 10 = Very Easy | ||||||||||||||||
| LNH5317 | How often do you use Business Services Online? | Once per year | Radio Button One Up Vertical | Single | Y | Freq of Use | ||||||||||
| 2-4 times per year | ||||||||||||||||
| 5-10 times per year | ||||||||||||||||
| 11 times or more per year | ||||||||||||||||
Sheet 3: Current CQs v2 (7-10-14)
| Model Instance Name: | ||||||||||||||||
| SSA BSO v2 | underlined & italicized: RE-ORDER | |||||||||||||||
| MID: | JsxgcQkkV0I5dxF8JE1lQg4C | pink: ADDITION | ||||||||||||||
| Date: | 1/13/2011 | blue + -->: REWORDING | ||||||||||||||
| violet (bold): SKIP-LOGIC | ||||||||||||||||
| SSA BSO v2 CUSTOM QUESTION LIST | ||||||||||||||||
| QID | Skip Logic Label | Question Text | Answer Choices (limited to 50 characters) |
Skip to | Type (select from list) | Single or Multi | Required Y/N |
Group Types | Labels | |||||||
| LNH5306 | How did you learn about Business Services Online? | SSA Speaker at a Conference | Radio Button One Up Vertical | Single | Y | OPS Group | How Did You Hear | Types | ||||||||
| Direct Mail I Received from Social Security | Column1 | |||||||||||||||
| Booth at an accounting/payroll conference | Open-ended | |||||||||||||||
| Webcast | Text Field – limited to 100 characters | |||||||||||||||
| SSA/IRS Reporter | Text Area – no character limit | |||||||||||||||
| CPA/Accountant | Dropdown (Select-one) | |||||||||||||||
| Other Direct Contact Initiated by Social Security | Radio Button One Up Vertical | |||||||||||||||
| Professional Association | Radio Button Two Up Vertical | |||||||||||||||
| IRS Forms, Instructions & Publications | ||||||||||||||||
| Social media (e.g. Facebook, Twitter, blog, etc.) | ||||||||||||||||
| Other (please specify) | A | Radio Button Three Up Vertical | ||||||||||||||
| LNH5307 | A | Other_how did you hear | Text Field – limited to 100 characters | Single | N | OPS Group | OE - How Did You Hear | |||||||||
| LNH5308 | Which services of Business Services Online did you use today? (Choose all that apply) | W-2 Online | D | Checkbox One Up Vertical | Multi | Y | Skip Logic Group | Services Used | Radio Button Scale Has Don’t Know | |||||||
| W-2c Online | D | Radio Button Scale No Don’t Know | ||||||||||||||
| View Submission Status | D | Checkbox One Up Vertical | ||||||||||||||
| View Employer Report Status | D | Checkbox Two Up Vertical | ||||||||||||||
| View Errors | D | Checkbox Three Up Vertical | ||||||||||||||
| View Notices | D | Select-multiple Show Two | ||||||||||||||
| SSN Verification | D | Select-multiple Show Three | ||||||||||||||
| Registration Services | D | Select-multiple Show Four | ||||||||||||||
| Resubmission Services | D | |||||||||||||||
| Consent-Based Services | D | |||||||||||||||
| Appointed Representative Services | D | |||||||||||||||
| Representative Payee Accounting Report | A, B, C | |||||||||||||||
| LNH5309 | A | How satisfied overall were you with the payee accounting form online? | 1=Very dissatisfied | Radio Button Scale No Don’t Know | Single | Y | Skip Logic Group | Payee Acct Form | ||||||||
| 2 | ||||||||||||||||
| 3 | ||||||||||||||||
| 4 | ||||||||||||||||
| 5 | ||||||||||||||||
| 6 | ||||||||||||||||
| 7 | ||||||||||||||||
| 8 | ||||||||||||||||
| 9 | ||||||||||||||||
| 10=Very satisfied | ||||||||||||||||
| LNH5310 | B | How likely are you to return to the representative payee accounting form online for your next accounting report? | 1=Not very likely | Radio Button Scale No Don’t Know | Single | Y | Skip Logic Group | Return to Payee Acct | ||||||||
| 2 | ||||||||||||||||
| 3 | ||||||||||||||||
| 4 | ||||||||||||||||
| 5 | ||||||||||||||||
| 6 | ||||||||||||||||
| 7 | ||||||||||||||||
| 8 | ||||||||||||||||
| 9 | ||||||||||||||||
| 10=Very likely | ||||||||||||||||
| LNH5311 | C | What specific improvements would you like to see in Internet Representative Payee Accounting? | Text Field – limited to 100 characters | Single | N | Skip Logic Group | Improve Internet Rep Payee Acct | |||||||||
| LNH5312 | D | What specific improvements would you like to see in Business Services Online? | Text Field – limited to 100 characters | Single | N | Skip Logic Group | Improve Business Services | |||||||||
| LNH5313 | How would you describe your role? (Select all that apply) | Representative payee | Checkbox One Up Vertical | Multi | Y | Skip Logic Group | Primary Business | |||||||||
| Appointed Representative | Z | |||||||||||||||
| Accountant/CPA | Z | |||||||||||||||
| Administrative Assistant | Z | |||||||||||||||
| Accounts Payable/HR | Z | |||||||||||||||
| Attorney | Z | |||||||||||||||
| Bookkeeper | Z | |||||||||||||||
| Business Manager | Z | |||||||||||||||
| Business Owner | Z | |||||||||||||||
| Church Officer | Z | |||||||||||||||
| Clerical Staff | Z | |||||||||||||||
| Corporate Officer | Z | |||||||||||||||
| Finance Staff | Z | |||||||||||||||
| Office Manager | Z | |||||||||||||||
| Other (please specify) | A, Z | |||||||||||||||
| LNH5314 | A | Other_describe | Text Area – no character limit | Single | N | Skip Logic Group | OE - Describe | |||||||||
| LNH5315 | Z | Please describe the size of your business, based on your number of employees/workers, including yourself. | Micro (10 or less) | Radio Button One Up Vertical | Single | Y | Skip Logic Group | Size of Business | ||||||||
| Small (11-50) | ||||||||||||||||
| Medium (51-250) | ||||||||||||||||
| Large (more than 250) | ||||||||||||||||
| LNH5316 | Rate the ease with which you located the Business Services Online website? (1 = Very Difficult; 10 = Very Easy) | 1 = Very Difficult | Radio Button Scale No Don’t Know | Single | Y | Ease to Locate | ||||||||||
| 2 | ||||||||||||||||
| 3 | ||||||||||||||||
| 4 | ||||||||||||||||
| 5 | ||||||||||||||||
| 6 | ||||||||||||||||
| 7 | ||||||||||||||||
| 8 | ||||||||||||||||
| 9 | ||||||||||||||||
| 10 = Very Easy | ||||||||||||||||
| LNH5317 | How often do you use Business Services Online? | Once per year | Radio Button One Up Vertical | Single | Y | Freq of Use | ||||||||||
| 2-4 times per year | ||||||||||||||||
| 5-10 times per year | ||||||||||||||||
| 11 times or more per year | ||||||||||||||||
Sheet 4: Current Custom Qsts
| Model Instance Name: | |||||||||||||||
| SSA BSO Content+Tasks | underlined & italicized: RE-ORDER | ||||||||||||||
| MID: | YN1BFhwYEJcQZ49IAlM0QQ== | pink: ADDITION | |||||||||||||
| Date: | 1/13/2011 | blue + -->: REWORDING | |||||||||||||
| violet (bold): SKIP-LOGIC | |||||||||||||||
| SSA BSO Content+Tasks CUSTOM QUESTION LIST | |||||||||||||||
| QID | Skip Logic Label | Question Text | Answer Choices (limited to 50 characters) |
Skip to | Type (select from list) | Single or Multi | Required Y/N |
||||||||
| 6384 | How did you hear about Business Services Online? | SSA Speaker at a Conference | Radio Button One Up Vertical | Single | Y | Types | |||||||||
| Direct Mail I Received from Social Security | Column1 | ||||||||||||||
| Booth at an accounting/payroll conference | Open-ended | ||||||||||||||
| Webcast | Text Field – limited to 100 characters | ||||||||||||||
| SSA/IRS Reporter | Text Area – no character limit | ||||||||||||||
| CPA/Accountant | Dropdown (Select-one) | ||||||||||||||
| Other Direct Contact Initiated by Social Security | Radio Button One Up Vertical | ||||||||||||||
| Professional Association | Radio Button Two Up Vertical | ||||||||||||||
| IRS Forms, Instructions & Publications | |||||||||||||||
| Other (please specify) | Radio Button Three Up Vertical | ||||||||||||||
| SVD0013 | Other_how did you hear | Text Field – limited to 100 characters | Single | N | |||||||||||
| 6385 | Which services of Business Services Online did you use today? (Choose all that apply) | W-2 Online | D | Checkbox One Up Vertical | Multi | Y | Radio Button Scale Has Don’t Know | ||||||||
| (6385G5) | W-2c Online | D | Radio Button Scale No Don’t Know | ||||||||||||
| View Submission Status | D | Checkbox One Up Vertical | |||||||||||||
| View Employer Report Status | D | Checkbox Two Up Vertical | |||||||||||||
| View Errors | D | Checkbox Three Up Vertical | |||||||||||||
| View Notices | D | Select-multiple Show Two | |||||||||||||
| SSN Verification | D | Select-multiple Show Three | |||||||||||||
| Registration Services | D | Select-multiple Show Four | |||||||||||||
| Resubmission Services | D | ||||||||||||||
| Consent-Based Services | D | ||||||||||||||
| Appointed Representative Services | D | ||||||||||||||
| Representative Payee Accounting Report | A, B, C | ||||||||||||||
| AKR3398 | A | How satisfied overall were you with the payee accounting form online? | 1=Very dissatisfied | Radio Button Scale No Don’t Know | Single | Y | |||||||||
| 2 | |||||||||||||||
| 3 | |||||||||||||||
| 4 | |||||||||||||||
| 5 | |||||||||||||||
| 6 | |||||||||||||||
| 7 | |||||||||||||||
| 8 | |||||||||||||||
| 9 | |||||||||||||||
| 10=Very satisfied | |||||||||||||||
| AKR3399 | B | How likely are you to return to the representative payee accounting form online for your next accounting report? | 1=Not very likely | Radio Button Scale No Don’t Know | Single | Y | |||||||||
| 2 | |||||||||||||||
| 3 | |||||||||||||||
| 4 | |||||||||||||||
| 5 | |||||||||||||||
| 6 | |||||||||||||||
| 7 | |||||||||||||||
| 8 | |||||||||||||||
| 9 | |||||||||||||||
| 10=Very likely | |||||||||||||||
| AKR3400 | C | What specific improvements would you like to see in Internet Representative Payee Accounting? | Text Field – limited to 100 characters | Single | N | ||||||||||
| AKR3401 | D | What specific improvements would you like to see in Business Services Online? | Text Field – limited to 100 characters | Single | N | ||||||||||
| 6388 | How would you describe your role? (Select all that apply) | Representative payee | Checkbox One Up Vertical | Multi | Y | ||||||||||
| Appointed Representative | Z | ||||||||||||||
| Accountant/CPA | Z | ||||||||||||||
| Administrative Assistant | Z | ||||||||||||||
| Accounts Payable/HR | Z | ||||||||||||||
| Attorney | Z | ||||||||||||||
| Bookkeeper | Z | ||||||||||||||
| Business Manager | Z | ||||||||||||||
| Business Owner | Z | ||||||||||||||
| Church Officer | Z | ||||||||||||||
| Clerical Staff | Z | ||||||||||||||
| Corporate Officer | Z | ||||||||||||||
| Finance Staff | Z | ||||||||||||||
| Office Manager | Z | ||||||||||||||
| Other (please specify) | A, Z | ||||||||||||||
| SVD0018 | A | Other_describe | Text Area – no character limit | Single | N | ||||||||||
| SVD00130 | Z | Please describe the size of your business, based on your number of employees/workers, including yourself. | Micro (10 or less) | Radio Button One Up Vertical | Single | Y | |||||||||
| Small (11-50) | |||||||||||||||
| Medium (51-250) | |||||||||||||||
| Large (more than 250) | |||||||||||||||
| SVD0014 | Rate the ease with which you located the Business Services Online website? (1 = Very Difficult; 10 = Very Easy) | 1 = Very Difficult | Radio Button Scale No Don’t Know | Single | Y | ||||||||||
| 2 | |||||||||||||||
| 3 | |||||||||||||||
| 4 | |||||||||||||||
| 5 | |||||||||||||||
| 6 | |||||||||||||||
| 7 | |||||||||||||||
| 8 | |||||||||||||||
| 9 | |||||||||||||||
| 10 = Very Easy | |||||||||||||||
| SVD0016 | How often do you use Business Services Online? | Once per year | Radio Button One Up Vertical | Single | Y | ||||||||||
| 2-4 times per year | |||||||||||||||
| 5-10 times per year | |||||||||||||||
| 11 times or more per year | |||||||||||||||
Sheet 5: Element Rotations
| Base Element Order | Version 2 | Version 3 | Version 4 |
| Content | Plain Language | Site Performance | Look and Feel |
| Look and Feel | Site Performance | Content | Plain Language |
| Site Performance | Look and Feel | Plain Language | Content |
| Plain Language | Content | Look and Feel | Site Performance |
| Content | Plain Language | Site Performance | Look and Feel |
| Look and Feel | Site Performance | Content | Plain Language |
| Site Performance | Look and Feel | Plain Language | Content |
| Plain Language | Content | Look and Feel | Site Performance |
| File Type | application/vnd.openxmlformats-officedocument.spreadsheetml.sheet |
| File Modified | 0000-00-00 |
| File Created | 0000-00-00 |
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