Pilot of a Survey Instrument Designed to Assess Users' Perceptions of Website Changes (Sub-Study #2)

Questionnaire Cognitive Interviewing and Pretesting (NCI)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0589 can be found here:

Documents and Forms

Document Name Document Type
Form 1 Pilot of a Survey Instrument Designed to Assess Users' Perceptions of Website Changes (Sub-Study #2) Form
1 Survey to Evaluate Changes to Website Design Attachment 1_ARP Survey-0925-0589-02.doc Form
GC Sub-Study Summary Form.doc Generic Sub-Study Summary IC Document
Memo_0925-0589-02_DCCPS ARP Survey_3-12-09.doc Memo/Justification for 0925-0589-02 IC Document

Information Collection (IC) Details

IC Title:	Pilot of a Survey Instrument Designed to Assess Users' Perceptions of Website Changes (Sub-Study #2)	Agency IC Tracking Number:

IC Status: Unchanged

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	1	Survey to Evaluate Changes to Website Design	Attachment 1_ARP Survey-0925-0589-02.doc		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 100	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Previously Approved
Annual Number of Responses for this IC	100	100
Annual IC Time Burden (Hours)	5	5
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Generic Sub-Study Summary	GC Sub-Study Summary Form.doc	03/12/2009
Memo/Justification for 0925-0589-02	Memo_0925-0589-02_DCCPS ARP Survey_3-12-09.doc	03/12/2009

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