Usability Assessment of CRC SimPLER - Community Reception Center Simulation Program for Leveraging and Evaluating Resources

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0923-0047 can be found here:

Documents and Forms

Document Name Document Type
Form 0923-0047 Usability Assessment of CRC SimPLER - Community Reception Center Simulation Program for Leveraging and Evaluating Resources Form and Instruction
0923-0047 User Testing Script and Questionnaire Attachment B User Testing Script and Questionnaire 20200225.docx Form and Instruction
ATSDR 0923-0047 GenIC_Usability of CRC SimPLER signed OS 20200225.pdf GenIC Template IC Document
Attachment A Email to invite participants 20200225.docx Email Invite IC Document
Attachment C Screenshots of CRC SimPLER Tool 20200225.pptx Screenshots of CRC SimPLER Tool IC Document
Attachment D STARS Research-PRA Determination 20200113.pdf Research Determination IC Document

Information Collection (IC) Details

IC Title:	Usability Assessment of CRC SimPLER - Community Reception Center Simulation Program for Leveraging and Evaluating Resources	Agency IC Tracking Number:	0923-0047-20KQ

IC Status: New

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 and Instruction	0923-0047	User Testing Script and Questionnaire	Attachment B User Testing Script and Questionnaire 20200225.docx		Yes	No	Fillable Fileable

Line of Business: Disaster Management

Subfunction: Disaster Preparedness and Planning

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 25	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	25	25
Annual IC Time Burden (Hours)	38	38
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
GenIC Template	ATSDR 0923-0047 GenIC_Usability of CRC SimPLER signed OS 20200225.pdf	02/26/2020
Email Invite	Attachment A Email to invite participants 20200225.docx	02/26/2020
Screenshots of CRC SimPLER Tool	Attachment C Screenshots of CRC SimPLER Tool 20200225.pptx	02/26/2020
Research Determination	Attachment D STARS Research-PRA Determination 20200113.pdf	02/26/2020

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