Information Collection

2017 FNS Usability Testing

IC 226079 under ICR 201606-0607-003 · OMB 0607-0725.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
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

IC Title:

2017 FNS Usability Testing

Agency IC Tracking Number:

IC Status: New

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	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 %

table that charts list of burden
	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

table that charts IC Documents
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.