Information Collection

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

IC 221080 under ICR 201312-0607-004 · OMB 0607-0725.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
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

IC Title:

Mobile UI Design Framework for Survey Operations â 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:

table that charts list of 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 %

table that charts list of burden
	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

table that charts IC Documents
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.