View Information Collection (IC)

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CBAMS Cognitive and Usability Interviews
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1 Paper Questionnaire Attachment 1 CBAMS_paper questionnaire.pdf No   Paper Only
Form and Instruction 2 Demographics Questionnaire Attachment 5 Demographic Questionnaire.docx No   Paper Only
Form and Instruction 3 Usability Satisfaction Questionnaire Attachment 6 Satisfaction Questionnaire.docx No   Paper Only

General Government Central Records & Statistical Mgt

 

40 0
   
Individuals or Households
 
   50 %

  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 40 0 40 0 0 0
Annual IC Time Burden (Hours) 60 0 60 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
OMB Memo 2020 CBAMS OMB Memo_05242017.docx 05/24/2017
Cognitive Interview Protocol Attachment 2 Cognitive Interview Protocol Paper.docx 05/24/2017
Usability Interview Protocol Attachment 3 Usability Testing Protocol.docx 05/24/2017
Consent Form Attachment 4 Consent Form-2020 CBAMS.docx 05/24/2017
Mailing Materials Attachment 7 Mailing Materials.docx 05/24/2017
Usability Debreifing Slides Attachment 8 CBAMS Usability Debriefing Slides.pptx 05/24/2017
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.