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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
2017 Census Test Usability Testing
Agency IC Tracking Number:
IC Status:
New
Obligation to Respond:
Voluntary
CFR Citation:
13 CFR 141, 193 (To search for a specific CFR, visit the
Code of Federal Regulations.
)
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
Demographics
Demographics
Enclosure 4 2017 CT Demographics.docx
Yes
Yes
Paper Only
Form and Instruction
Mobile Experience Questionnaire
Mobile Experience Questionnaire
Enclosure 5 2017 CT Mobile Experience Questionnaire.docx
Yes
Yes
Paper Only
Form and Instruction
Satisfaction questionnaire
Satisfaction questionnaire
Enclosure 6 2017 CT Satisfaction questionnaire.docx
Yes
Yes
Paper Only
Instruction
Enclosure 1 2017 CT Protocol.docx
Yes
Yes
Paper Only
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:
54
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
Approved
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
54
0
54
0
0
0
Annual IC Time Burden (Hours)
81
0
81
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Memo
OMB letter_2017 Census Test.docx
06/15/2016
DRAFT Mailing Materials
Enclosure 2 Mailing materials placeholder.docx
06/15/2016
DRAFT Screenshots
Enclosure 3 Placeholder screens for debriefing.pptx
06/15/2016
Revised OMB Memo
OMB letter_2017 Census Test_NEW 071116.docx
07/20/2016
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.