G292: NextGen Initiatives 2018 Usability Testing

Clearance for the Collection of Qualitative Feedback

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Document Name Document Type
Form G292-1 G292: NextGen Initiatives 2018 Usability Testing Form
G292-1 Facilitator Guide G292 Facilitator Guide - Usability Testing.docx Form
G292-2 System Usability Scale G292 UX System Usability Scale.docx Form
G292-3 Participant Feedback G292 UX Participant Feedback.docx Form
G292-4 Participant Scenario Worksheet G292 UX Form - Participant Scenario Worksheet.docx Form
Form - Background Information Apr 16.docx Form- Background Information IC Document
Form - Audio-Video Consent Apr 16.docx Audio and Video Consent Form IC Document
G292 NextGen Initiatives 2018 UX Submission Request.docx G292: NextGen Initiatives 2018 UX Submission Request IC Document

Information Collection (IC) Details

IC Title:	G292: NextGen Initiatives 2018 Usability Testing	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	G292-1	Facilitator Guide	G292 Facilitator Guide - Usability Testing.docx	Yes	Yes	Fillable Fileable
Form	G292-3	Participant Feedback	G292 UX Participant Feedback.docx	Yes	Yes	Fillable Fileable
Form	G292-4	Participant Scenario Worksheet	G292 UX Form - Participant Scenario Worksheet.docx	Yes	Yes	Fillable Fileable
Form	G292-2	System Usability Scale	G292 UX System Usability Scale.docx	Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Intellectual Property Protection

Privacy Act System of Records
Title: PAT/TM-19: Dissemination Events and Registrations	FR Citation: 71 FR 77739

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 Agency Discretion
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

Title	Document	Date Uploaded
Form- Background Information	Form - Background Information Apr 16.docx	08/17/2018
Audio and Video Consent Form	Form - Audio-Video Consent Apr 16.docx	08/17/2018
G292: NextGen Initiatives 2018 UX Submission Request	G292 NextGen Initiatives 2018 UX Submission Request.docx	08/17/2018

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