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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
2017 Economic Census Usability Testing and Debriefs
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
1
Demographics Questionnaire
Attachment B_Demographic Questionnaire.docx
No
Fillable Fileable
Form
2
Computer Use and Internet Experience Questionnaire
Attachment D_Computer use and Internet Experience questionnaire.docx
No
Fillable Fileable
Form
3
Satisfaction Questionnaire
Attachment E_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:
75
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits
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
75
0
75
0
0
0
Annual IC Time Burden (Hours)
94
0
94
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_Economic Census testing.docx
02/22/2017
ASM-COS Debriefing
Attachment A_1 Protocol_2016 ASM-COS Debriefings.docx
02/22/2017
Protocol Usability
Attachment A_2 Protocol_Economic Census usability study.docx
02/22/2017
Consent Form
Attachment C_Consent form_Usability testing.docx
02/22/2017
User tasks for Usability
Attachment F_User tasks.docx
02/22/2017
Usability Debriefing
Attachment G_Usability debriefing questions.docx
02/22/2017
Instrument Screenshots
Attachment H_ Instrument Screenshots.docx
02/22/2017
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.