View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	2023 Feedback Survey Collection for All of Us Research Program Locations and Websites	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	Always on Survey	All of Us Research Program CX Survey Instrument - Always On Survey.docx		Yes	Yes	Fillable Fileable
Form and Instruction	2	General Intercept	All of Us Research Program CX Survey Instrument - General Intercept Survey.docx		Yes	Yes	Fillable Fileable
Form and Instruction	3	Onsite Survey	All of Us Research Program CX Survey Instrument - Onsite Survey.docx		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: 50,000	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	50,000	0	50,000	0	0	0
Annual IC Time Burden (Hours)	3,000	0	3,000	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
Template	0648 Template - All of Us Research Program CX Surveys.docx	02/23/2023
Recruitment Materials	Proof_COB_Medallia-Onsite-Survey-Tearaway-Flyer_022123_W335884.pdf	02/23/2023

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