View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	User feedback survey for National Institute on Deafness and Other Communication Disorders (NIDCD) website and Noisy Planet webpages	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	Noisy Plant Vistor Survey	Noisy Planet Visitor Survey Screenshots_2021-11-18.pdf		Yes	Yes	Fillable Fileable
Form and Instruction	2	NIDCD Vistor Survey screenshots	NIDCD Visitor Survey Screenshots_2021-11-15.pdf		Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

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 New Statute	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA	Previously Approved
Annual Number of Responses for this IC	20,000	0	20,000	0	0	0
Annual IC Time Burden (Hours)	667	0	667	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
NIDCD Site Survey Questions	NIDCD Site Survey and Questions for OMB Clearance_revised.docx	11/24/2021
fast track NIDCD Site visitors and Noisy Planet	OMB Fast Track form - NIDCD Site Visitor Survey_revised.docx	11/24/2021

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