View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	Older Americans Placemat Usability Testing	Agency IC Tracking Number:	DI 00502

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
Other-Moderator Guide			Moderators Guide_OMB.pdf		No		Printable Only

Federal Enterprise Architecture Business Reference Module

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 80	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	80	0	80	0	0	0
Annual IC Time Burden (Hours)	26	0	26	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
IC Submission Template	IC Template 3170-0024_Placemat Program_OMB.pdf	06/21/2017
MOW_placemat_fill_in_blanks (Item Tested)	MOW_placemat_fill_in_blanks.pdf	06/21/2017
MOW_placemat_word_scramble (Item Tested)	MOW_placemat_word_scramble.pdf	06/21/2017
MOW_placemat_word_search (Item Tested)	MOW_placemat_word_search.pdf	06/21/2017

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.