Mobile UI Design Framework for Survey Operations – Phase 1, Study 1

Generic Clearance for Questionnaire Pretesting Research

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0607-0725 can be found here:

Documents and Forms

Document Name Document Type
Form Demographics Mobile UI Design Framework for Survey Operations – Phase 1, Study 1 Form and Instruction
OMB_memo_IOE201501_Study1_Protocol.docx Instruction
Demographics Demographics OMB_memo_IOE201501_Study1_DemoQ.docx Form and Instruction
Mobile Questions Mobile Questions OMB_memo_IOE201501_Study1_MobileQ.docx Form and Instruction
Debriefing Satisfa Debriefing Satisfaction OMB_memo_IOE201501_Study1_Debriefing.docx Form and Instruction
OMB_memo_IOE201501_Study1.docx Memo IC Document
OMB_memo_IOE201501_Study1_Plan.docx Study Plan IC Document

Information Collection (IC) Details

IC Title:	Mobile UI Design Framework for Survey Operations – Phase 1, Study 1	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 13 CFR 141, 193 (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	Demographics	Demographics	OMB_memo_IOE201501_Study1_DemoQ.docx	Yes	Yes	Paper Only
Form and Instruction	Mobile Questions	Mobile Questions	OMB_memo_IOE201501_Study1_MobileQ.docx	Yes	Yes	Paper Only
Form and Instruction	Debriefing Satisfaction	Debriefing Satisfaction	OMB_memo_IOE201501_Study1_Debriefing.docx	Yes	Yes	Paper Only
Instruction			OMB_memo_IOE201501_Study1_Protocol.docx	Yes	Yes	Paper Only

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 120	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	120	120
Annual IC Time Burden (Hours)	180	180
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Memo	OMB_memo_IOE201501_Study1.docx	04/14/2016
Study Plan	OMB_memo_IOE201501_Study1_Plan.docx	04/14/2016

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