OMB
.report
Search
G254 Usability Testing Feedback in Support of Next Generation Initiatives
Clearance for the Collection of Qualitative Feedback
OMB: 0651-0080
IC ID: 221150
OMB.report
DOC/PTO
OMB 0651-0080
ICR 201705-0651-002
IC 221150
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0651-0080 can be found here:
2024-09-18 - Revision of a currently approved collection
2021-09-28 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Form G254-1
G254 Usability Testing Feedback in Support of Next Generation Initiatives
Form
UX Participant Feedback Apr 2016.docx
Instruction
Facilitator Guide - Usability Testing Apr 16.docx
Instruction
G254-1 Audio/Video Consent Form
Form - Audio-Video Consent Apr 16.docx
Form
G254-2 Background Information
Form - Background Information Apr 16.docx
Form and Instruction
G254-3 Participant Scenario Worksheet
UX Form - Participant Scenario Worksheet Apr 2016.docx
Form
G254-4 System Usability Scale
UX System Usability Scale Apr 2016.docx
Form
G254 NextGen Initiatives UX Submission Request Apr 2016.docx
NextGen Initiatives Usability Testing Submission Request
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
G254 Usability Testing Feedback in Support of Next Generation Initiatives
Agency IC Tracking Number:
IC Status:
Unchanged
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
G254-1
Audio/Video Consent Form
Form - Audio-Video Consent Apr 16.docx
Yes
Yes
Fillable Fileable Signable
Form and Instruction
G254-2
Background Information
Form - Background Information Apr 16.docx
Yes
Yes
Fillable Fileable
Form
G254-3
Participant Scenario Worksheet
UX Form - Participant Scenario Worksheet Apr 2016.docx
Yes
Yes
Fillable Fileable
Form
G254-4
System Usability Scale
UX System Usability Scale Apr 2016.docx
Yes
Yes
Fillable Fileable
Instruction
UX Participant Feedback Apr 2016.docx
Yes
Yes
Printable Only
Instruction
Facilitator Guide - Usability Testing Apr 16.docx
Yes
Yes
Printable Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Economic Development
Subfunction:
Intellectual Property Protection
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
500
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits, Not-for-profit institutions
Percentage of Respondents Reporting Electronically:
50 %
Requested
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
500
0
0
0
0
500
Annual IC Time Burden (Hours)
1,000
0
0
0
0
1,000
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
NextGen Initiatives Usability Testing Submission Request
G254 NextGen Initiatives UX Submission Request Apr 2016.docx
04/20/2016
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.