2017 FNS Usability Testing

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⚠️ Notice: This information collection may be referencing outdated material.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 FNS Usability Testing Form and Instructi
1 Application Enclosure 8 form.pdf Form and Instruction
OMB letter - FNS usability testing.docx OMB Memo IC Document
FNS_Enclosure1_StudyPlan.docx Study Plan IC Document
FNS_Enclosure2_Protocol.docx Protocol IC Document
FNS_Enclosure3_Demographic.docx Demographic Questionnaire IC Document
FNS_Enclosure4_InternetMobile.docx Internet and Smartphone Experience Questionnaire IC Document
FNS_Enclosure5_DebriefingQs.docx Debriefing Questionnaire IC Document
FNS_Enclosure6_UserInteraction.docx Questionnaire for User Interaction Satisfaction IC Document
FNS_Enclosure7_AdditionalPreScreen.docx Additional Pre-Screening Questions IC Document

Information Collection (IC) Details

IC Title:	2017 FNS Usability Testing	Agency IC Tracking Number:

IC Status: New

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	1	Application	Enclosure 8 form.pdf		No		Fillable Fileable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 58	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	58	58
Annual IC Time Burden (Hours)	61	61
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
OMB Memo	OMB letter - FNS usability testing.docx	03/15/2017
Study Plan	FNS_Enclosure1_StudyPlan.docx	03/15/2017
Protocol	FNS_Enclosure2_Protocol.docx	03/15/2017
Demographic Questionnaire	FNS_Enclosure3_Demographic.docx	03/15/2017
Internet and Smartphone Experience Questionnaire	FNS_Enclosure4_InternetMobile.docx	03/15/2017
Debriefing Questionnaire	FNS_Enclosure5_DebriefingQs.docx	03/15/2017
Questionnaire for User Interaction Satisfaction	FNS_Enclosure6_UserInteraction.docx	03/15/2017
Additional Pre-Screening Questions	FNS_Enclosure7_AdditionalPreScreen.docx	03/15/2017

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