Addendum for Usability Testing of a Self-Administered Current Population Survey

Generic Clearance for Questionnaire Pretesting Research

Documents and Forms

Document Name Document Type
Form 1 Addendum for Usability Testing of a Self-Administered Current Population Survey Form and Instruction
1 Instrument Attachment 6 Self_Resp Quex_For OMB.xlsx Form and Instruction
OMB memo_usability_for RTI Review_FINAL.docx OMB Memo IC Document
Attachment 1 Screening questionnaire_For OMB_clean 05152024.docx Screener IC Document
Attachment 2 Recruitment methodology and ads_For OMB.docx Recruitment methodology and ads IC Document
Attachment 3 Recontact Emails Between Interviews_For OMB.docx Recontact Emails Between Interviews IC Document
Attachment 4a Round 1 UX Protocol_For OMB.docx Round 1 UX Protocol IC Document
Attachment 4b Round 2 UX Protocol_For OMB.docx Round 2 UX Protocol IC Document
Attachment 5 Contact Letters for Login_For OMB.docx Contact Letters for Login IC Document
Attachment 7 UX Satisfaction questions_for OMB.docx UX Satisfaction questions IC Document
Attachment 8 Consent Form_for OMB.docx Consent Form IC Document

Information Collection (IC) Details

IC Title:	Addendum for Usability Testing of a Self-Administered Current Population Survey	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
Form and Instruction	1	Instrument	Attachment 6 Self_Resp Quex_For OMB.xlsx		No		Fillable Fileable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 130	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Previously Approved
Annual Number of Responses for this IC	130	130
Annual IC Time Burden (Hours)	263	263
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
OMB Memo	OMB memo_usability_for RTI Review_FINAL.docx	05/21/2024
Screener	Attachment 1 Screening questionnaire_For OMB_clean 05152024.docx	05/21/2024
Recruitment methodology and ads	Attachment 2 Recruitment methodology and ads_For OMB.docx	05/21/2024
Recontact Emails Between Interviews	Attachment 3 Recontact Emails Between Interviews_For OMB.docx	05/21/2024
Round 1 UX Protocol	Attachment 4a Round 1 UX Protocol_For OMB.docx	05/21/2024
Round 2 UX Protocol	Attachment 4b Round 2 UX Protocol_For OMB.docx	05/21/2024
Contact Letters for Login	Attachment 5 Contact Letters for Login_For OMB.docx	05/21/2024
UX Satisfaction questions	Attachment 7 UX Satisfaction questions_for OMB.docx	05/21/2024
Consent Form	Attachment 8 Consent Form_for OMB.docx	05/21/2024

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