Information Collection

Therapy Attitude Inventory and System Usability Scale

IC 216725 under ICR 201505-0920-004 · OMB 0920-1086.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Therapy Attitude Inventory and System Usability Scale	Form
Therapy Attitude Inventory and System Usability Scale Attachment I6 - Therapy Attitude Inventory and System Usability Scale.pdf	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	none	Therapy Attitude Inventory and System Usability Scale	Attachment I6 - Therapy Attitude Inventory and System Usability Scale.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records

Title: 09-20-0160 Records of Subjects in Health Promotion and Education Studies

FR Citation: 51 FR 42484

Number of Respondents: 200

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	200	200
Annual IC Time Burden (Hours)	50	50
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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