Information Collection

CE Online Diary Usability Test

IC 225306 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⚠️ Notice: This information collection may be referencing outdated material.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
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: Unchanged

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
	Requested	Previously Approved
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.