ODPHP Website Visitor Satisfaction Site- and Page-Level Surveys

Fast Track Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0990-0379 can be found here:

Documents and Forms

Document Name Document Type
Attachment B Site-Level Survey Questions_2018-01-26.docx Other-questionnaire
Attachment C Page-Level Survey Questions_2018-01-26.docx Other-survey
Attachment D Screenshots_2018-01-26.docx Other-screenshots
Generic Clearance Submission_ODPHP-Website-Surveys_2018-01-26.docx memo IC Document
Attachment A Website Survey Protocol_2018-01-26.docx Surveys Protocol IC Document

Information Collection (IC) Details

IC Title:	ODPHP Website Visitor Satisfaction Site- and Page-Level Surveys	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-questionnaire	Attachment B Site-Level Survey Questions_2018-01-26.docx	Yes	Yes	Fillable Printable
Other-survey	Attachment C Page-Level Survey Questions_2018-01-26.docx	Yes	No	Fillable Printable
Other-screenshots	Attachment D Screenshots_2018-01-26.docx	Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 132,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	132,000	132,000
Annual IC Time Burden (Hours)	4,600	4,600
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
memo	Generic Clearance Submission_ODPHP-Website-Surveys_2018-01-26.docx	01/26/2018
Surveys Protocol	Attachment A Website Survey Protocol_2018-01-26.docx	01/29/2018

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.