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Tell Us How We’re Doing!

Please help us improve this Web site by completing our short customer satisfaction survey. We will use your feedback to improve our service. We anticipate that it will take you approximately 1-2 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.

Select the “Yes, Continue” button to begin or “No, Thanks” 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 0990-0379, and the expiration date is 06/03/2014.

According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0990-0379 . The time required to complete this information collection is estimated to average 5 minutes per response, including the time to review instructions, search existing data resources, gather the data needed, and complete and review the information collection. If you have comments concerning the accuracy of the time estimate(s) or suggestions for improving this form, please write to: U.S. Department of Health & Human Services, OS/OCIO/PRA, 200 Independence Ave., S.W., Suite 336-E, Washington D.C. 20201, Attention: PRA Reports Clearance Officer.