OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Bundled Website Usability Testings #1 (ASA24) and #2 (GEM)

IC 198056 under ICR 201302-0925-007 · OMB 0925-0589.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
IC Document
IC Document
IC Document
IC Document
Information Collection (IC) Details

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Bundled Website Usability Testings #1 (ASA24) and #2 (GEM)
 
Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1 #1_ASA 24 Screener and Guide #1 Attach 1A and 1C Screener & Guide.docx Yes No Fillable Printable
Form and Instruction 2 #2_GEM Attach 2C 2D Survey and Guide #2_Attach 2C 2D_Survey and Guide_GEM_FINAL.docx Yes No Fillable Printable

Health Consumer Health and Safety

SORN #09-25-0156, "Records of Participants in Programs and Respondents in Surveys Used to Evaluate Programs of the Public Health Service, HHS/PHS/NIH/OD"  67 FR 60743

198 0
   
Individuals or Households
 
   0 %

  Requested 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 198 0 0 0 0 198
Annual IC Time Burden (Hours) 107 0 0 0 0 107
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
#1 Justif Memo Attach 1B 1D_5-18-2011 #1 Justif Memo Attach 1B 1D_5-18-2011.doc 02/27/2013
Memo to OMB_Key To Bundled #1 and #2 Memo to OMB_Key To Bundled #1 and #2.doc 02/27/2013
Gen IC Forms #1 and #2_ASA-24 & GEM Usability Testing Gen IC Forms #1 and #2_ASA-24 & GEM Usability Testing.doc 02/27/2013
#2_Justifi Memo Attach 2A 2B_GEM_FINAL #2_Justifi Memo Attach 2A 2B_GEM_FINAL.docx 02/27/2013
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.