Information Collection

Tree Testing of HRSA's BPHC Website

IC 256609 under ICR 202004-0915-007 · OMB 0915-0379.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0915-0379 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 BPHC Unmoderated Usability Testing Script (Test Instrument) Tree Testing of HRSA's BPHC Website	Form and Instruction
1 BPHC Unmoderated Usability Testing Script (Test Instrume UPDATED BPHC Unmoderated Usability Testing Script and Tasks.docx	Form and Instruction
0990-0379-memo-fast-track-hrsa-bphc-2022-09-14.docx Supporting Statement Fast Track Memo	IC Document

IC Title:

Tree Testing of HRSA's BPHC Website

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
Form and Instruction	1				Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 50

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	50	50
Annual IC Time Burden (Hours)	25	25
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Supporting Statement Fast Track Memo		10/26/2022

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

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