Information Collection

USAGov User Research Participant Database -- Req 21

IC 254037 under ICR 201911-3090-002 · OMB 3090-0321.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3090-0321 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
USAGov-Instrument.docx	Other-Web based/telephone
USAGov-ICR.docx USAGov User Research Participant Database	IC Document

IC Title:

USAGov User Research Participant Database -- Req 21

Agency IC Tracking Number:

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
Other-Web based/telephone					Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 2,100

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	2,100	2,100
Annual IC Time Burden (Hours)	175	175
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
USAGov User Research Participant Database		06/06/2022

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

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