View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	SAMHSA Data Webpages Customer Satisfaction Survey	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	Data Webpages Customer Satisfaction Survey	Data Webpages Customer Satisfaction Survey	Customer Satisfaction Survey for Data Webpages-for OMB package.docx		Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title: Privacy Act of 1974 (Title 5 United States Code [U.S.C.] 552a)	FR Citation: 75 FR 28264

Number of Respondents: 7,357	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

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	7,357	0	7,357	0	0	0
Annual IC Time Burden (Hours)	221	0	221	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
0930-0393 Fast Track Generic Submission - Data Website Cust Sat Survey	0930-0393 Fast Track Generic _ Submission - Data Website Cust Sat - 12-20-2023 (Final).docx	12/29/2023

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