User Testing (Deep Dive)

Generic Clearance for Improving Customer Experience(OMB Circular A-11, Section 280 Implementation)

Documents and Forms

Document Name Document Type
Generic ICR Template_A11 Section 280 Clearance 12 4 23.docx Other-template
Generic ICR Template_A11 Section 280 Clearance 12 4 23.docx Other-

Information Collection (IC) Details

IC Title:	User Testing (Deep Dive)	Agency IC Tracking Number:

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-template			Generic ICR Template_A11 Section 280 Clearance 12 4 23.docx		Yes	Yes	Fillable Fileable
Other-			Generic ICR Template_A11 Section 280 Clearance 12 4 23.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 200	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 50 %

	Requested	Previously Approved
Annual Number of Responses for this IC	200	200
Annual IC Time Burden (Hours)	100	100
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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