Information Collection

Usability Testing of redesigned CE paper Diary

IC 220337 under ICR 201706-1220-008 · 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⚠️ Notice: This information collection may be referencing outdated material.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
Appendix B - Testing Protocol.docx	Instruction
Appendix E -Recruitment Protocol.docx	Instruction
CE-801 Diary Form Attachment D - ce 801v1 Darft 3 2_29.pdf	Form and Instruction
Note to Reviewer - OMB CE Paper Diary Testing.docx Note to Reviewer - Usability Testing CE Diary	IC Document

IC Title:

Usability Testing of redesigned CE paper Diary

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
Instruction			Appendix B - Testing Protocol.docx	Yes	No	Printable Only
Form and Instruction	CE-801	Diary Form	Attachment D - ce 801v1 Darft 3 2_29.pdf	Yes	No	Paper Only
Instruction			Appendix E -Recruitment Protocol.docx	Yes	No	Printable Only

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 40

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	120	120
Annual IC Time Burden (Hours)	96	96
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Note to Reviewer - Usability Testing CE Diary	Note to Reviewer - OMB CE Paper Diary Testing.docx	03/01/2016

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