Information Collection

G254 Usability Testing Feedback in Support of Next Generation Initiatives

IC 221150 under ICR 201705-0651-002 · OMB 0651-0080.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0651-0080 can be found here:

Documents and Forms

Documents and forms in this information collection
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

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:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	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

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 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	500	500
Annual IC Time Burden (Hours)	1,000	1,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.