Information Collection

CE Online Diary Usability Test

IC 225306 under ICR 201608-1220-001 · OMB 1220-0141.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1220-0141 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Attachment 1 CE Online Diary Usability Test	Form and Instruction
Attachment 1 Recruitment Script Attachment 1 - Recruitment Script.docx	Form and Instruction
Attachments Survey Protocol Survey Protocol.docx	Form and Instruction
Note to Reviewer - CE Web Diary Test 2017.docx Note to Reviewer - CE Web Diary Usability Test	IC Document

IC Title:

CE Online Diary Usability Test

Agency IC Tracking Number:

21704

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	Attachment 1	Recruitment Script	Attachment 1 - Recruitment Script.docx		Yes	No	Printable Only
Form and Instruction	Attachments	Survey Protocol	Survey Protocol.docx		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: 165

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	1,125	1,125
Annual IC Time Burden (Hours)	321	321
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Note to Reviewer - CE Web Diary Usability Test	Note to Reviewer - CE Web Diary Test 2017.docx	01/25/2017

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