Usability Testing of HHE Program Webpages for Employers/Employees via Remote and In-person Testing

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (NIOSH)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0940 can be found here:

Documents and Forms

Document Name Document Type
Usability Testing of HHE Program Webpages for Employers/Employees via Remote and In-person Testing Form and Instruction
Task C Testing Plan with comments 3.8.13.docx Instruction
Appendix A: Usability Testing Participant Screener for I Appendix A- In-person testing 3 8 13.docx Form and Instruction
Appendix B: Usability Testing Participant Screener for R Appendix B- Usability Testing 3.8.13.docx Form and Instruction
Additional Justification to clarify 0920-0950-13KG.docx Additional Justification to clarify 0920-0950-13KG IC Document
omb package task c usability testing 3 8 13.docx omb package task c usability testing 3 8 13 IC Document

Information Collection (IC) Details

IC Title:	Usability Testing of HHE Program Webpages for Employers/Employees via Remote and In-person 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	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	None	Appendix A: Usability Testing Participant Screener for In-Person Testing	Appendix A- In-person testing 3 8 13.docx	Yes	Yes	Fillable Fileable
Form and Instruction	None	Appendix B: Usability Testing Participant Screener for RemoteTesting	Appendix B- Usability Testing 3.8.13.docx	Yes	Yes	Fillable Fileable
Instruction			Task C Testing Plan with comments 3.8.13.docx	Yes	Yes	Printable Only

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 10	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

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	10	0	0	0	0	0
Annual IC Time Burden (Hours)	10	0	0	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
Additional Justification to clarify 0920-0950-13KG	Additional Justification to clarify 0920-0950-13KG.docx	03/08/2013
omb package task c usability testing 3 8 13	omb package task c usability testing 3 8 13.docx	03/08/2013

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