Information Collection

2018 Centurion Site Tutorial Videos Cog Testing

IC 228748 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⚠️ Notice: This information collection may be referencing outdated material.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 2018 Centurion Site Tutorial Videos Cog Testing	Form
1 Video Screenshots G. Video Script Outline.docx	Form
2 Usability Tasks F. Participant Tasks.docx	Form
3 Video Satisfaction Questionnare E. How-to Video Satisfaction.docx	Form and Instruction
OMB letter Centurion Tutorial Videos.docx OMB Memo	IC Document
A. Tutorial Videos Protocol.docx Protocol	IC Document
B. Demographic Questionnaire.docx Demo Questionnaire	IC Document
C. Consent form.docx Consent Form	IC Document
D. Computer Use and Internet Experience Questionnaire.docx Computer Use and Internet Experience Questionnaire	IC Document

IC Title:

2018 Centurion Site Tutorial Videos Cog 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	Available Electronically?	Electronic Capability
Form	1	Video Screenshots	G. Video Script Outline.docx	No	Printable Only
Form	2	Usability Tasks	F. Participant Tasks.docx	No	Printable Only
Form and Instruction	3	Video Satisfaction Questionnare	E. How-to Video Satisfaction.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: 30

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

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	30	30
Annual IC Time Burden (Hours)	38	38
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
OMB Memo	OMB letter Centurion Tutorial Videos.docx	10/24/2017
Protocol	A. Tutorial Videos Protocol.docx	10/24/2017
Demo Questionnaire	B. Demographic Questionnaire.docx	10/24/2017
Consent Form	C. Consent form.docx	10/24/2017
Computer Use and Internet Experience Questionnaire	D. Computer Use and Internet Experience Questionnaire.docx	10/24/2017

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