NIST Feedback Survey for RGTM 10169

NIST Generic Clearance for Usability Data Collections

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0693-0043 can be found here:

Documents and Forms

Document Name Document Type
0693-0043-NIST-RGTM10169-CollectionInstrument-ScreenShots.pdf Other-Collection Instrument
0693-0043-NIST-RGTM10169-SupportingStatement-06-17-2020.docx NIST Feedback Survey for RGTM 10169 - Supporting Statement IC Document
0693-0043-NIST-RGTM10169-RecruitmentEmail-Sample.docx NIST Feedback Survey for RGTM 10169 - SAMPLE - Recruitment Email IC Document

Information Collection (IC) Details

IC Title:	NIST Feedback Survey for RGTM 10169	Agency IC Tracking Number:	DY

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
Other-Collection Instrument			0693-0043-NIST-RGTM10169-CollectionInstrument-ScreenShots.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 150	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	150	150
Annual IC Time Burden (Hours)	75	75
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
NIST Feedback Survey for RGTM 10169 - Supporting Statement	0693-0043-NIST-RGTM10169-SupportingStatement-06-17-2020.docx	06/18/2020
NIST Feedback Survey for RGTM 10169 - SAMPLE - Recruitment Email	0693-0043-NIST-RGTM10169-RecruitmentEmail-Sample.docx	06/18/2020

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