2017 Economic Census Usability Testing and Debriefs

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⚠️ Notice: This information collection may be referencing outdated material.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 1 2017 Economic Census Usability Testing and Debriefs Form
1 Demographics Questionnaire Attachment B_Demographic Questionnaire.docx Form
2 Computer Use and Internet Experience Questionnaire Attachment D_Computer use and Internet Experience questionnaire.docx Form
3 Satisfaction Questionnaire Attachment E_Satisfaction questionnaire.docx Form
OMB letter_Economic Census testing.docx OMB Memo IC Document
Attachment A_1 Protocol_2016 ASM-COS Debriefings.docx ASM-COS Debriefing IC Document
Attachment A_2 Protocol_Economic Census usability study.docx Protocol Usability IC Document
Attachment C_Consent form_Usability testing.docx Consent Form IC Document
Attachment F_User tasks.docx User tasks for Usability IC Document
Attachment G_Usability debriefing questions.docx Usability Debriefing IC Document
Attachment H_ Instrument Screenshots.docx Instrument Screenshots IC Document

Information Collection (IC) Details

IC Title:	2017 Economic Census Usability Testing and Debriefs	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	1	Demographics Questionnaire	Attachment B_Demographic Questionnaire.docx	No	Fillable Fileable
Form	2	Computer Use and Internet Experience Questionnaire	Attachment D_Computer use and Internet Experience questionnaire.docx	No	Fillable Fileable
Form	3	Satisfaction Questionnaire	Attachment E_Satisfaction questionnaire.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: 75	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	75	75
Annual IC Time Burden (Hours)	94	94
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
OMB Memo	OMB letter_Economic Census testing.docx	02/22/2017
ASM-COS Debriefing	Attachment A_1 Protocol_2016 ASM-COS Debriefings.docx	02/22/2017
Protocol Usability	Attachment A_2 Protocol_Economic Census usability study.docx	02/22/2017
Consent Form	Attachment C_Consent form_Usability testing.docx	02/22/2017
User tasks for Usability	Attachment F_User tasks.docx	02/22/2017
Usability Debriefing	Attachment G_Usability debriefing questions.docx	02/22/2017
Instrument Screenshots	Attachment H_ Instrument Screenshots.docx	02/22/2017

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