Information Collection

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

IC 267827 under ICR 202508-0607-002 · OMB 0607-0725.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0607-0725 can be found here:

2025-12-30 - Revision of a currently approved collection

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Addendum for Usability Testing of a Self-Administered Current Population Survey	Form and Instruction
Form 1 Instrument 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
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
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 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 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 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 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 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 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 7 UX Satisfaction questions_for OMB.docx UX Satisfaction questions	IC Document
Attachment 8 Consent Form_for OMB.docx Consent Form	IC Document
Attachment 8 Consent Form_for OMB.docx Consent Form	IC Document

Information Collection (IC) Details

View Information Collection (IC)

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:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1				No		Fillable Fileable

Federal Enterprise Architecture Business Reference Module

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 %

table that charts list of burden
	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

table that charts IC Documents
Title	Document	Date Uploaded
OMB Memo		05/21/2024
Screener		05/21/2024
Recruitment methodology and ads		05/21/2024
Recontact Emails Between Interviews		05/21/2024
Round 1 UX Protocol		05/21/2024
Round 2 UX Protocol		05/21/2024
Contact Letters for Login		05/21/2024
UX Satisfaction questions		05/21/2024
Consent Form		05/21/2024

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

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