Vest Usability Testing

Assessing and Evaluating Human Systems Integration Needs in Mining

Documents and Forms

Document Name Document Type
Vest Usability Testing Form and Instruction
Field Evaluation Informed Consent Appendix L_Vest Study Consent and Consent Script.docx Form and Instruction
Vest Usability Testing Appendix J_Vest Questionnaire Pre and Post.docx Form and Instruction
Appendix P_Vest Usability Protocol.doc Appendix P_Vest Usability Protocol IC Document

Information Collection (IC) Details

IC Title:	Vest Usability Testing	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	None	Field Evaluation Informed Consent	Appendix L_Vest Study Consent and Consent Script.docx		Yes	No	Paper Only
Form and Instruction	None	Vest Usability Testing	Appendix J_Vest Questionnaire Pre and Post.docx		Yes	No	Paper Only

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 60	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	120	120
Annual IC Time Burden (Hours)	90	90
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Appendix P_Vest Usability Protocol	Appendix P_Vest Usability Protocol.doc	06/14/2013

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