Information Collection

Building Evidence Training (BET) Project Usability Testing

IC 239218 under ICR 202105-0970-001 · OMB 0970-0401.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0401 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
EBPAS-36_adapted OMB Final.docx	Other-Attitude Scale
EBPAS-36_adapted OMB Final.docx	Other-Attitude Scale
Unit_1_Post_Test OMB Final.docx	Other-Post Test
Unit_1_Post_Test OMB Final.docx	Other-Post Test
Unit_2_Pre-Post_Test OMB Final.docx	Other-Pre-Post Test
Unit_2_Pre-Post_Test OMB Final.docx	Other-Pre-Post Test
Unit_3_Pre-Post_Test OMB Final.docx	Other-Pre-Post Test
Unit_3_Pre-Post_Test OMB Final.docx	Other-Pre-Post Test
Unit_4_Pre-Post_Test OMB Final.docx	Other-Pre-Post Test
Unit_4_Pre-Post_Test OMB Final.docx	Other-Pre-Post Test
Unit 5 Pre-Post Test OMB Final.docx	Other-Pre-Post Test
Unit 5 Pre-Post Test OMB Final.docx	Other-Pre-Post Test
Unit_6_Pre-Post_Test OMB Final.docx	Other-Pre-Post Test
Unit_6_Pre-Post_Test OMB Final.docx	Other-Pre-Post Test
BET Knowledge Check Questions OMB Final.docx	Other-Knowledge Checks
BET Knowledge Check Questions OMB Final.docx	Other-Knowledge Checks
Participant Experience Survey OMB Final.docx	Other-Survey
Participant Experience Survey OMB Final.docx	Other-Survey
Instructor Unit Survey Final- OMB Final.docx	Other-survey
Instructor Unit Survey Final- OMB Final.docx	Other-survey
Instructor Experience Survey Final - OMB Final.docx	Other-Survey
Instructor Experience Survey Final - OMB Final.docx	Other-Survey
Fast Track PRA - BET2 Final -1.9.2020.doc Submission Form Template - BET Usability Testing	IC Document
Fast Track PRA - BET2 Final -1.9.2020.doc Submission Form Template - BET Usability Testing	IC Document

IC Title:

Building Evidence Training (BET) Project Usability Testing

Agency IC Tracking Number:

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Attitude Scale	EBPAS-36_adapted OMB Final.docx	Yes	Yes	Fillable Fileable
Other-Post Test	Unit_1_Post_Test OMB Final.docx	Yes	Yes	Fillable Fileable
Other-Pre-Post Test	Unit_2_Pre-Post_Test OMB Final.docx	Yes	Yes	Fillable Fileable
Other-Pre-Post Test	Unit_3_Pre-Post_Test OMB Final.docx	Yes	Yes	Fillable Fileable
Other-Pre-Post Test	Unit_4_Pre-Post_Test OMB Final.docx	Yes	Yes	Fillable Fileable
Other-Pre-Post Test	Unit 5 Pre-Post Test OMB Final.docx	Yes	Yes	Fillable Fileable
Other-Pre-Post Test	Unit_6_Pre-Post_Test OMB Final.docx	Yes	Yes	Fillable Fileable
Other-Knowledge Checks	BET Knowledge Check Questions OMB Final.docx	Yes	Yes	Fillable Fileable
Other-Survey	Participant Experience Survey OMB Final.docx	Yes	Yes	Fillable Fileable
Other-survey	Instructor Unit Survey Final- OMB Final.docx	Yes	Yes	Fillable Fileable
Other-Survey	Instructor Experience Survey Final - OMB Final.docx	Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 43

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	43	43
Annual IC Time Burden (Hours)	98	98
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Submission Form Template - BET Usability Testing	Fast Track PRA - BET2 Final -1.9.2020.doc	01/09/2020

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