G254 Usability Testing Feedback in Support of Next Generation Initiatives

Clearance for the Collection of Qualitative Feedback

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0651-0080 can be found here:

Documents and Forms

Document Name Document Type
Form G254-2 G254 Usability Testing Feedback in Support of Next Generation Initiatives Form and Instruction
UX Participant Feedback Apr 2016.docx Instruction
Facilitator Guide - Usability Testing Apr 16.docx Instruction
G254-1 Audio/Video Consent Form Form - Audio-Video Consent Apr 16.docx Form
G254-2 Background Information Form - Background Information Apr 16.docx Form and Instruction
G254-3 Participant Scenario Worksheet UX Form - Participant Scenario Worksheet Apr 2016.docx Form
G254-4 System Usability Scale UX System Usability Scale Apr 2016.docx Form
G254 NextGen Initiatives UX Submission Request Apr 2016.docx NextGen Initiatives Usability Testing Submission Request IC Document

Information Collection (IC) Details

IC Title:	G254 Usability Testing Feedback in Support of Next Generation Initiatives	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	G254-2	Background Information	Form - Background Information Apr 16.docx	Yes	Yes	Fillable Fileable
Form	G254-3	Participant Scenario Worksheet	UX Form - Participant Scenario Worksheet Apr 2016.docx	Yes	Yes	Fillable Fileable
Form	G254-4	System Usability Scale	UX System Usability Scale Apr 2016.docx	Yes	Yes	Fillable Fileable
Instruction			UX Participant Feedback Apr 2016.docx	Yes	Yes	Printable Only
Form	G254-1	Audio/Video Consent Form	Form - Audio-Video Consent Apr 16.docx	Yes	Yes	Fillable Fileable Signable
Instruction			Facilitator Guide - Usability Testing Apr 16.docx	Yes	Yes	Printable Only

Line of Business: Economic Development

Subfunction: Intellectual Property Protection

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 500	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: 50 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	500	500
Annual IC Time Burden (Hours)	1,000	1,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
NextGen Initiatives Usability Testing Submission Request	G254 NextGen Initiatives UX Submission Request Apr 2016.docx	04/20/2016

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