Information Collection

NCIPC Website Usability Testing

IC 243814 under ICR 201902-0920-022 · OMB 0920-1050.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1050 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
NCIPC Website Usability Testing	Form
Usability Testing Instrument Attachment B. Usability Testing Instrument.docx	Form
Screenshots Attachment C Screenshots.docx	Form
Attachment A. Privacy Applicability.pdf Privacy applicability	IC Document
1050 Request Template Service Delivery NCIPC Usability.docx Request for Approval	IC Document

IC Title:

NCIPC Website Usability Testing

Agency IC Tracking Number:

0920-1050-20SG

IC Status: New

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	none	Usability Testing Instrument	Attachment B. Usability Testing Instrument.docx		Yes	Yes	Fillable Fileable
Form	none	Screenshots	Attachment C Screenshots.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 400

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	400	400
Annual IC Time Burden (Hours)	133	133
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Privacy applicability	Attachment A. Privacy Applicability.pdf	09/29/2020
Request for Approval	1050 Request Template Service Delivery NCIPC Usability.docx	09/29/2020

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