View Information Collection (IC)

View Information Collection (IC)

2017 Census Test Usability Testing
 
New
 
Voluntary
 
13 CFR 141, 193  (To search for a specific CFR, visit the Code of Federal Regulations.)

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

General Government Central Records & Statistical Mgt

 

54 0
   
Individuals or Households
 
   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

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.