Information Collection

Vest Usability Testing

IC 207526 under ICR 201509-0920-003 · OMB 0920-0981.

Documents and Forms

Documents and forms in this information collection
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

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

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 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 %

table that charts list of burden
	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

table that charts IC Documents
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.