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Tell Us How We’re Doing!

Please help us improve this website by completing our short customer satisfaction survey. We will use your feedback to improve our service. We anticipate that it will take you approximately 12 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 will not share the data with anyone outside of the Department of Health and Human Services.

Select the "" button to begin or "" to go back. You have the option to skip any question you wish; doing so will not affect the rest of your survey responses. Thank you!

  



The OMB Control # is 0990-0321, and the expiration date is 02/28/2011.

Public reporting burden of this collection of information is estimated to average 12 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.





Last Modified: 12/31/1600

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