Information Collection

Usability Test of the Food Log portion of FoodLogger- A Smartphone Application

IC 246374 under ICR 201903-0536-001 · OMB 0536-0073.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0536-0073 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Appendix B Participant Recruitment Advertisement Script_03182021.docx	Other-Participant Recruitment Advert
Appendix C Participant Recruitment Flyer.docx	Other-Participant Recruitment Flyer
Appendix D Screener Questionnaire for Participant Recruitment_03172021.docx	Other-Screener Questionnaire
Appendix E Introduction on Day 1_03172021.docx	Instruction
Appendix F Disclaimer_03182021.docx	Instruction
Appendix G Consent Form_03172021.docx	Other-Consent Form
Appendix H Demographic Questionnaire_03172021.docx	Other-Demographic Questionnaire
Appendix I Courseware for FoodLogger Installation and Data Entry Training_03172021.pptx	Instruction
Appendix J Debriefing Guide for Installing FoodLogger.docx	Other-Debriefing Guide for Installin
Appendix K Debriefing Guide for Data Entry Training_03172021.docx	Other-Debriefing Guide for Data Entr
Appendix L Instructions for Field Data Entry.docx	Instruction
Appendix M Usability Issues Log.docx	Other-Usability Issues Log
Appendix N Debriefing Guide for Field Data Entry (Days 1-3).docx	Other-Debriefing Guide for Field Dat
Appendix O Debriefing Guide for Field Data Entry (Days 4-7)_03172021.docx	Other-Debriefing Guide for Field Dat
Appendix P Incentive Voucher.docx	Other-Incentive Voucher
Appendix Q Critical Tasks.docx	Other-Critical Tasks
Appendix R Food-at-Home (FAH) Use Case.docx	Instruction
Appendix S Food-away-from-Home (FAFH) Use Case.docx	Instruction
Appendix T School-Meal Use Cases.docx	Instruction
Appendix U Paradata and User-Observed Variables for Usability Evaluation.docx	Other-Paradata and User-Observed Var
Appendix V Protocol for Lab-Based Usability Testing.docx	Other-Protocol for Lab-Based Usabili
Appendix W Debriefing Guide for Lab-Based Usability Testing.docx	Other-Debriefing Guide for Lab-Based
Appendix X Satisfaction Questionnaire.docx	Other-Satisfaction Questionnaire
Appendix Y Workflow for Preparing Food Items for Lab-Based Usability Testing.docx	Other-Workflow for Preparing Food It
Appendix Z Instructions for Installing Microsoft Teams.docx	Instruction
Appendix A Screenshots of Smartphone Application - FoodLogger_03232021.docx	Other-Screenshots of Smartphone Appl
Appendix A-1 Food Log Questionnaire for the FoodLogger_03232021.docx	Other-Food Log Questionnaire for the
FoodLogger_Usability_Test_Generic_Clearance_03182021.docx FoodLogger_Usability_Test_Generic_Clearance	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Usability Test of the Food Log portion of FoodLogger- A Smartphone Application

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Participant Recruitment Advertisement Script	Appendix B Participant Recruitment Advertisement Script_03182021.docx	No		Printable Only
Other-Participant Recruitment Flyer	Appendix C Participant Recruitment Flyer.docx	No		Printable Only
Other-Screener Questionnaire	Appendix D Screener Questionnaire for Participant Recruitment_03172021.docx	Yes	Yes	Fillable Fileable
Instruction	Appendix E Introduction on Day 1_03172021.docx	No		Printable Only
Instruction	Appendix F Disclaimer_03182021.docx	Yes	No	Printable Only
Other-Consent Form	Appendix G Consent Form_03172021.docx	Yes	No	Printable Only
Other-Demographic Questionnaire	Appendix H Demographic Questionnaire_03172021.docx	Yes	Yes	Fillable Fileable
Instruction	Appendix I Courseware for FoodLogger Installation and Data Entry Training_03172021.pptx	Yes	No	Printable Only
Other-Debriefing Guide for Installing FoodLogger	Appendix J Debriefing Guide for Installing FoodLogger.docx	Yes	Yes	Fillable Fileable
Other-Debriefing Guide for Data Entry Training	Appendix K Debriefing Guide for Data Entry Training_03172021.docx	Yes	Yes	Fillable Fileable
Instruction	Appendix L Instructions for Field Data Entry.docx	Yes	No	Printable Only
Other-Usability Issues Log	Appendix M Usability Issues Log.docx	Yes	No	Printable Only
Other-Debriefing Guide for Field Data Entry (Days 1-3)	Appendix N Debriefing Guide for Field Data Entry (Days 1-3).docx	Yes	Yes	Fillable Fileable
Other-Debriefing Guide for Field Data Entry (Days 4-7)	Appendix O Debriefing Guide for Field Data Entry (Days 4-7)_03172021.docx	Yes	Yes	Fillable Fileable
Other-Incentive Voucher	Appendix P Incentive Voucher.docx	Yes	No	Printable Only
Other-Critical Tasks	Appendix Q Critical Tasks.docx	Yes	No	Printable Only
Instruction	Appendix R Food-at-Home (FAH) Use Case.docx	Yes	No	Printable Only
Instruction	Appendix S Food-away-from-Home (FAFH) Use Case.docx	Yes	No	Printable Only
Instruction	Appendix T School-Meal Use Cases.docx	Yes	No	Printable Only
Other-Paradata and User-Observed Variables for Usability Evaluation	Appendix U Paradata and User-Observed Variables for Usability Evaluation.docx	Yes	No	Printable Only
Other-Protocol for Lab-Based Usability Testing	Appendix V Protocol for Lab-Based Usability Testing.docx	Yes	No	Printable Only
Other-Debriefing Guide for Lab-Based Usability Testing	Appendix W Debriefing Guide for Lab-Based Usability Testing.docx	Yes	Yes	Fillable Fileable
Other-Satisfaction Questionnaire	Appendix X Satisfaction Questionnaire.docx	Yes	Yes	Fillable Fileable
Other-Workflow for Preparing Food Items for Lab-Based Usability Testing	Appendix Y Workflow for Preparing Food Items for Lab-Based Usability Testing.docx	Yes	No	Printable Only
Instruction	Appendix Z Instructions for Installing Microsoft Teams.docx	Yes	No	Printable Only
Other-Screenshots of Smartphone Application - FoodLogger	Appendix A Screenshots of Smartphone Application - FoodLogger_03232021.docx	Yes	Yes	Fillable Fileable
Other-Food Log Questionnaire for the FoodLogger	Appendix A-1 Food Log Questionnaire for the FoodLogger_03232021.docx	Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 28

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	28	28
Annual IC Time Burden (Hours)	159	159
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
FoodLogger_Usability_Test_Generic_Clearance	FoodLogger_Usability_Test_Generic_Clearance_03182021.docx	03/23/2021

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