CEDSCI Usability Evaluation

Generic Clearance for Questionnaire Pretesting Research

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Document Name Document Type
Form Demographic Inform CEDSCI Usability Evaluation Form
Demographic Inform Demographic Information CEDSCI enclosure3.docx Form
Internet and Smart Internet and Smartphone Experience Questions CEDSCI enclosure4.docx Form
Debriefing Questio Debriefing Question CEDSCI enclosure5.docx Form
OMB letter - CEDSCI usability testing.docx OMB Memo IC Document
CEDSCI enclosure1.docx Usability Evaluation Plan for CEDSCI (Phase I) IC Document
CEDSCI enclosure2.docx Rapid Formative Testing Protocol IC Document
OMB letter - CEDSCI usability testing_rev.docx Revised OMB Memo IC Document

Information Collection (IC) Details

IC Title:	CEDSCI Usability Evaluation	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?	Electronic Capability
Form	Demographic Information	Demographic Information	CEDSCI enclosure3.docx	No	Fillable Fileable
Form	Internet and Smartphone Experience Questions	Internet and Smartphone Experience Questions	CEDSCI enclosure4.docx	No	Fillable Fileable
Form	Debriefing Question	Debriefing Question	CEDSCI enclosure5.docx	No	Fillable Fileable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 168	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	168	168
Annual IC Time Burden (Hours)	252	252
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
OMB Memo	OMB letter - CEDSCI usability testing.docx	11/09/2016
Usability Evaluation Plan for CEDSCI (Phase I)	CEDSCI enclosure1.docx	11/09/2016
Rapid Formative Testing Protocol	CEDSCI enclosure2.docx	11/09/2016
Revised OMB Memo	OMB letter - CEDSCI usability testing_rev.docx	12/07/2016

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