Information Collection

NSSRN Usability Evaluation

IC 227896 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⚠️ Notice: This information collection may be referencing outdated material.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 NSSRN Usability Evaluation	Form and Instructi
1 Demographics Questionnaire Enclosure 2 Demographics.docx	Form and Instruction
2 Debriefing Questions Enclosure 3 Debriefing Slides.pptx	Form and Instruction
3 Satisfaction Questionnaire Enclosure 4 Satisfaction questionnaire.docx	Form and Instruction
4 NSSRN Questionnaire Enclosure 6 NSSRN_18_080917_D20.pdf	Form and Instruction
OMB letter - NSSRN_Final.docx OMB Memo	IC Document
Enclosure 1 2018 NSSRN Protocol_Final Draft.docx Protocol	IC Document
Enclosure 5 Additional Screener_NSSRN_Questions.docx Screener questions and Ads	IC Document

IC Title:

NSSRN Usability Evaluation

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	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1	Demographics Questionnaire	Enclosure 2 Demographics.docx	No		Fillable Fileable
Form and Instruction	2	Debriefing Questions	Enclosure 3 Debriefing Slides.pptx	No		Fillable Fileable
Form and Instruction	3	Satisfaction Questionnaire	Enclosure 4 Satisfaction questionnaire.docx	No		Fillable Fileable
Form and Instruction	4	NSSRN Questionnaire	Enclosure 6 NSSRN_18_080917_D20.pdf	Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 16

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	16	16
Annual IC Time Burden (Hours)	27	27
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
OMB Memo	OMB letter - NSSRN_Final.docx	08/15/2017
Protocol	Enclosure 1 2018 NSSRN Protocol_Final Draft.docx	08/15/2017
Screener questions and Ads	Enclosure 5 Additional Screener_NSSRN_Questions.docx	08/15/2017

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