Information Collection

User Research with African-American, Hispanic, and Rural Consumers

IC 247813 under ICR 202108-3170-001 · OMB 3170-0024.

Information Collection (IC) Details

View Information Collection (IC)

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Information Collection Instruments:
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Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-screener questions Target audience screener questions (Black).docx Yes Yes Fillable Fileable
Other-screener questions Target audience screener questions (Hispanic).docx Yes Yes Fillable Fileable
Other-screener questions Target audience screener questions (Rural).docx Yes Yes Fillable Fileable
Other-scripted research questions Target audience user testing script.docx Yes Yes Fillable Fileable

Federal Enterprise Architecture Business Reference Module


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  Requested Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 30 0 0 0 0 30
Annual IC Time Burden (Hours) 19 0 0 0 0 19
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Documents for IC
table that charts IC Documents
Title Document Date Uploaded
3170-0024 (User Research with African-American, Hispanic, and Rural Consumers) supporting statement 3170-0024 (User Research with African-American, Hispanic, and Rural Consumers) supporting statement.docx 06/09/2021
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.