Website Survey for Website Satisfaction Rating (NIA)

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (NIH)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0648 can be found here:

Documents and Forms

Document Name Document Type
Form 1 Website Survey for Website Satisfaction Rating (NIA) Form and Instruction
1 NIA Site Survey Setup NIA Site Survey Setup for OMB Review (1).docx Form and Instruction
NIA Website_generic_clearance_template2.docx fast track NIA website survey IC Document
Copy of NIA Links for Survey (1).xlsx Copy of NIA Link tfor survey IC Document

Information Collection (IC) Details

IC Title:	Website Survey for Website Satisfaction Rating (NIA)	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1	NIA Site Survey Setup	NIA Site Survey Setup for OMB Review (1).docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 20,000	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	20,000	20,000
Annual IC Time Burden (Hours)	667	667
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
fast track NIA website survey	NIA Website_generic_clearance_template2.docx	08/06/2020
Copy of NIA Link tfor survey	Copy of NIA Links for Survey (1).xlsx	08/06/2020

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