Information Collection

Technical Bulletin Modernization Key Informant Interviews and Usability Testing (NLM)

IC 263327 under ICR 202103-0925-003 · OMB 0925-0648.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0648 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Screener Technical Bulletin Modernization Key Informant Interviews and Usability Testing (NLM)	Form
Form 2 Moderator Guide Technical Bulletin Modernization Key Informant Interviews and Usability Testing (NLM)	Form
1 Screener TB User Interview Screener Questions 12182023.pdf	Form
2 Moderator Guide NLM Technical Bulletin User Interviews Moderator Guide 12182023.pdf	Form
NLM ICR Fast Track Technical Bulletin website.docx Template	IC Document
TB Follow Up Recruitment Email.docx Recruitment Email	IC Document

IC Title:

Technical Bulletin Modernization Key Informant Interviews and Usability Testing (NLM)

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	1				Yes	Yes	Fillable Fileable
Form	2				Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 59

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	59	59
Annual IC Time Burden (Hours)	10	10
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Template		12/18/2023
Recruitment Email		12/18/2023

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

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