Information Collection

Usability Testing for the Survey of Respirator Use and Practices (SRUP)

IC 249584 under ICR 202009-1220-006 · OMB 1220-0141.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1220-0141 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Attachments 1-3 Survey Protocol for SRUP Phase 3 Usabilitity Testing Usability Testing for the Survey of Respirator Use and Practices (SRUP)	Form and Instruction
Attachments 1-3 Survey Protocol for SRUP Phase 3 Usabilitity Testing Attachments 1-3 - Survey Protocol.docx	Form and Instruction
Note to Reviewer SRUP - Phase 3 Usability testing.docx Note to Reviewer SRUP Phase 3 Usability Testing	IC Document

IC Title:

Usability Testing for the Survey of Respirator Use and Practices (SRUP)

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	Attachments 1-3				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: 700

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

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	700	700
Annual IC Time Burden (Hours)	55	55
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Note to Reviewer SRUP Phase 3 Usability Testing		09/29/2021

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

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