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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
2018 NSCH Usability Evaluation
Agency IC Tracking Number:
IC Status:
New
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
Questionnaire V1
Enclosure 6S nschs1_18_021218.pdf
No
Fillable Fileable
Form and Instruction
2
Questionnaire V2
Enclosure 6T1 nscht1_18_020818.pdf
No
Fillable Fileable
Form and Instruction
3
Questionnaire V3
Enclosure 6T2 nscht2_18_020818.pdf
No
Fillable Fileable
Form and Instruction
4
Questionnaire V4
Enclosure 6T3 nscht3_18_020818.pdf
No
Fillable Fileable
Form and Instruction
5
Demographic Questionnaire
Enclosure 2 Demographics.docx
No
Fillable Fileable
Form and Instruction
6
Satisfaction Questionnaire
Enclosure 4 Satisfaction questionnaire.docx
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:
18
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
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
18
0
18
0
0
0
Annual IC Time Burden (Hours)
34
0
34
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
OMB Memo
OMB letter - NSCH_Final_V2_3_23_2018.docx
03/23/2018
Protocol
Enclosure 1 2018 NSCH Protocol_Final.docx
02/28/2018
Debriefing Slides
Enclosure 3 Debriefing Slides.pptx
02/28/2018
Recruiting Documents
Enclosure 5 Screener_NSCH Questionnaire redesign.docx
02/28/2018
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.