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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Usability Test of the Food Log portion of FoodLogger- A Smartphone Application
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
Other-Participant Recruitment Advertisement Script
Appendix B Participant Recruitment Advertisement Script_03182021.docx
No
Printable Only
Other-Participant Recruitment Flyer
Appendix C Participant Recruitment Flyer.docx
No
Printable Only
Other-Screener Questionnaire
Appendix D Screener Questionnaire for Participant Recruitment_03172021.docx
Yes
Yes
Fillable Fileable
Instruction
Appendix E Introduction on Day 1_03172021.docx
No
Printable Only
Instruction
Appendix F Disclaimer_03182021.docx
Yes
No
Printable Only
Other-Consent Form
Appendix G Consent Form_03172021.docx
Yes
No
Printable Only
Other-Demographic Questionnaire
Appendix H Demographic Questionnaire_03172021.docx
Yes
Yes
Fillable Fileable
Instruction
Appendix I Courseware for FoodLogger Installation and Data Entry Training_03172021.pptx
Yes
No
Printable Only
Other-Debriefing Guide for Installing FoodLogger
Appendix J Debriefing Guide for Installing FoodLogger.docx
Yes
Yes
Fillable Fileable
Other-Debriefing Guide for Data Entry Training
Appendix K Debriefing Guide for Data Entry Training_03172021.docx
Yes
Yes
Fillable Fileable
Instruction
Appendix L Instructions for Field Data Entry.docx
Yes
No
Printable Only
Other-Usability Issues Log
Appendix M Usability Issues Log.docx
Yes
No
Printable Only
Other-Debriefing Guide for Field Data Entry (Days 1-3)
Appendix N Debriefing Guide for Field Data Entry (Days 1-3).docx
Yes
Yes
Fillable Fileable
Other-Debriefing Guide for Field Data Entry (Days 4-7)
Appendix O Debriefing Guide for Field Data Entry (Days 4-7)_03172021.docx
Yes
Yes
Fillable Fileable
Other-Incentive Voucher
Appendix P Incentive Voucher.docx
Yes
No
Printable Only
Other-Critical Tasks
Appendix Q Critical Tasks.docx
Yes
No
Printable Only
Instruction
Appendix R Food-at-Home (FAH) Use Case.docx
Yes
No
Printable Only
Instruction
Appendix S Food-away-from-Home (FAFH) Use Case.docx
Yes
No
Printable Only
Instruction
Appendix T School-Meal Use Cases.docx
Yes
No
Printable Only
Other-Paradata and User-Observed Variables for Usability Evaluation
Appendix U Paradata and User-Observed Variables for Usability Evaluation.docx
Yes
No
Printable Only
Other-Protocol for Lab-Based Usability Testing
Appendix V Protocol for Lab-Based Usability Testing.docx
Yes
No
Printable Only
Other-Debriefing Guide for Lab-Based Usability Testing
Appendix W Debriefing Guide for Lab-Based Usability Testing.docx
Yes
Yes
Fillable Fileable
Other-Satisfaction Questionnaire
Appendix X Satisfaction Questionnaire.docx
Yes
Yes
Fillable Fileable
Other-Workflow for Preparing Food Items for Lab-Based Usability Testing
Appendix Y Workflow for Preparing Food Items for Lab-Based Usability Testing.docx
Yes
No
Printable Only
Instruction
Appendix Z Instructions for Installing Microsoft Teams.docx
Yes
No
Printable Only
Other-Screenshots of Smartphone Application - FoodLogger
Appendix A Screenshots of Smartphone Application - FoodLogger_03232021.docx
Yes
Yes
Fillable Fileable
Other-Food Log Questionnaire for the FoodLogger
Appendix A-1 Food Log Questionnaire for the FoodLogger_03232021.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Income Security
Subfunction:
Food and Nutrition Assistance
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
28
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
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
28
0
28
0
0
0
Annual IC Time Burden (Hours)
159
0
159
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
FoodLogger_Usability_Test_Generic_Clearance
FoodLogger_Usability_Test_Generic_Clearance_03182021.docx
03/23/2021
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.