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Research Tested Intervention Programs (RTIPs) Website Usability Testing (NCI)
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
OMB: 0925-0642
IC ID: 239616
OMB.report
HHS/NIH
OMB 0925-0642
ICR 201905-0925-001
IC 239616
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0642 can be found here:
2023-01-30 - Extension without change of a currently approved collection
2020-02-19 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
Form 1
Research Tested Intervention Programs (RTIPs) Website Usability Testing (NCI)
Form and Instruction
1 RTIPs Usability Interview Guide
RTIPs Usability Interview Guide V2.docx
Form and Instruction
2 RTIPs Wireframes - Webpage
RTIPS Wiresframes - Webpage.pdf
Form and Instruction
Fast Track Request - RTIPs V2.docx
Fast Track Request - RTIPs
IC Document
Usability Consent Form (1).docx
Usability Consent Form
IC Document
Usability Invite Email.docx
Usability Invite Email
IC Document
Usability Recruitment Email Blast.docx
Usability Recruitment Email Blast
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Research Tested Intervention Programs (RTIPs) Website Usability Testing (NCI)
Agency IC Tracking Number:
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
1
RTIPs Usability Interview Guide
RTIPs Usability Interview Guide V2.docx
No
Paper Only
Form and Instruction
2
RTIPs Wireframes - Webpage
RTIPS Wiresframes - Webpage.pdf
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Health Care Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
20
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Not-for-profit institutions
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
20
0
20
0
0
0
Annual IC Time Burden (Hours)
20
0
20
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Fast Track Request - RTIPs
Fast Track Request - RTIPs V2.docx
01/28/2020
Usability Consent Form
Usability Consent Form (1).docx
01/28/2020
Usability Invite Email
Usability Invite Email.docx
01/28/2020
Usability Recruitment Email Blast
Usability Recruitment Email Blast.docx
01/28/2020
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.