View Information Collection (IC)

View Information Collection (IC)

Census Test Usability Testing Addendum
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction Enclosure 2 Mailing Materials.pdf No   Fillable Fileable
Form and Instruction 1 Instrument Debriefing Screens Enclosure 3 Placeholder screens for debriefing.pptx No   Fillable Fileable
Form and Instruction 2 Demographics Questionnaire Enclosure 4 2017 CT Demographics.docx No   Fillable Fileable
Form and Instruction 3 Mobile Experience Questionnaire Enclosure 5 2017 CT Mobile Experience Questionnaire.docx No   Fillable Fileable
Form and Instruction 4 Satisfaction Questionnaire Enclosure 6 2017 CT Satisfaction questionnaire.docx No   Fillable Fileable

General Government Central Records & Statistical Mgt

 

216 0
   
Individuals or Households
 
   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 216 0 216 0 0 0
Annual IC Time Burden (Hours) 384 0 384 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
OMB Memo OMB Letter Addendum.docx 06/11/2018
Protocol Enclosure 1 Protocol.docx 06/11/2018
Screener Enclosure 7 Screener.docx 06/11/2018
Consent Form Enclosure 8 RTI Consent Form.docx 06/11/2018
Login Card Enclosure 9 Login Card.docx 06/11/2018
Approved memo from 2017 testing Enclosure 10 Approved memo from 2017 testing.docx 06/11/2018
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.