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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Usability Evaluation of the American Community Survey (ACS) Roster Screens
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
Rostering Spec
Enclosure 2_ IDC Rostering (2022) Spec_11.18.2021_marcus edits.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:
20
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
20
0
20
0
0
0
Annual IC Time Burden (Hours)
27
0
27
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
OMB Memo
omb 11.19.21 (2).docx
12/01/2021
Screener questions
Enclosure 1_additional screening questions.docx
12/01/2021
Protocol
Enclosure 3_Usability Testing Protocol_11.19.21.docx
12/01/2021
Vignettes
Enclosure 4_rostering vignettes_11.19.21.docx
12/01/2021
Satisfaction questionnaire
Enclosure 5_satisfaction questions.docx
12/01/2021
Consent form
Enclosure 6_consent form.docx
12/01/2021
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.