Information Collection

CEDSCI Usability Addendum

IC 230569 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⚠️ Notice: This information collection may be referencing outdated material.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 CEDSCI Usability Addendum	Form
1 Demographic Questionnaire CEDSCI enclosure3.docx	Form
2 Internet Experience Questionnaire CEDSCI enclosure4.docx	Form
3 Debriefing Questionnaire CEDSCI enclosure5.docx	Form
4 Satisfaction Questionnaire CEDSCI enclosure6.docx	Form
addendum to add in census refresh_4_25_18.docx OMB Memo	IC Document
CEDSCI enclosure1.docx Study Plan	IC Document
CEDSCI enclosure2.docx Protocol	IC Document
OMB letter - CEDSCI usability testing_rev (1).docx Previously Approved OMB Memo	IC Document

IC Title:

CEDSCI Usability Addendum

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	Demographic Questionnaire	CEDSCI enclosure3.docx	No	Fillable Fileable
Form	2	Internet Experience Questionnaire	CEDSCI enclosure4.docx	No	Fillable Fileable
Form	3	Debriefing Questionnaire	CEDSCI enclosure5.docx	No	Fillable Fileable
Form	4	Satisfaction Questionnaire	CEDSCI enclosure6.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: 28

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	28	28
Annual IC Time Burden (Hours)	28	28
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
OMB Memo	addendum to add in census refresh_4_25_18.docx	04/27/2018
Study Plan	CEDSCI enclosure1.docx	03/07/2018
Protocol	CEDSCI enclosure2.docx	03/07/2018
Previously Approved OMB Memo	OMB letter - CEDSCI usability testing_rev (1).docx	04/27/2018

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