QDRL - NCHS Website Usability Testing

NCHS Questionnaire Design Research Laboratory

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0222 can be found here:

Documents and Forms

Document Name Document Type
Attachment 2.docx Instruction
QDRL OMB-10-day letter-NCHS Website Usability Study.doc Justification IC Document
Attachment 1a&b.docx Attachment 1 - advertisement for study IC Document

Information Collection (IC) Details

IC Title:	QDRL - NCHS Website Usability Testing	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
Instruction			Attachment 2.docx		No	No	Paper Only

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 30	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	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	30	0	0	0	0	0
Annual IC Time Burden (Hours)	30	0	0	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
Justification	QDRL OMB-10-day letter-NCHS Website Usability Study.doc	05/06/2010
Attachment 1 - advertisement for study	Attachment 1a&b.docx	05/06/2010

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