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Please help us improve this Web site by completing our short customer satisfaction
questionnaire. We will use your feedback to improve our service to you. We anticipate
that it will take approximately 2-3 minutes to complete this questionnaire.
Your responses to all questions will be kept in a secure manner. No personal
identifiers will be recorded. All information is used for evaluation purposes
only and we do not plan to share the data with anyone outside of the Department
of Health and Human Services.
You have the option to skip any question you wish; doing so will not affect
the rest of your survey. Thank you!
Public reporting burden of this collection of
information is estimated to average 2-3 minutes per response, including
the time for reviewing instructions and completing the survey. An agency
may not conduct or sponsor, and a person is not required to respond to a
collection of information unless it displays a currently valid OMB control
number. Send comments regarding this burden estimate or any other aspect
of this collection of information, including suggestions for reducing this
burden to HHS Reports Clearance Officer; 200 Independence Ave., SW, Washington,
DC 20201.
OMB Control No: 0990-0321
Expiration Date: 02/28/2011