View Information Collection (IC)
View Information Collection (IC)

View Information Collection (IC)

HPS Tool Usability Evaluation Census
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Recuitment Flyer Recruitment Flyer.pdf Yes Yes Fillable Fileable
Other-Screener questions 2. Screener.docx Yes Yes Fillable Fileable
Other-Informed Consent 3. Informed Consent_mc.docx Yes Yes Fillable Fileable
Other-Protocol 4. HH Pulse Data Tool Study Protocol_mc.docx Yes Yes Fillable Fileable
Other-Demographic Questionnaire 5. Demographic Questionnaire.docx Yes Yes Fillable Fileable
Other-Internet/Datasets use Questionnaire 6. InternetDatasets Use Questionnaire.docx Yes Yes Fillable Fileable
Other-Tasks 7. Tasks.docx Yes Yes Fillable Fileable
Other-Satisfaction Questionnaire 8. Satisfaction Questionnaire.docx Yes Yes Fillable Fileable
Other-Incentive Form 9. Incentive Form_mc.docx Yes Yes Fillable Fileable

General Government Central Records & Statistical Mgt

 

60 0
   
Individuals or Households
 
   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 60 0 60 0 0 0
Annual IC Time Burden (Hours) 23 0 23 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
10. Generic Clearance for the Collection of Routine Customer Feedback Fast Track Request Generic Clearance for the Collection of Routine Customer Feedback Fast Track Submission Request.docx 04/15/2022
HPS tool OMB letter HPS tool OMB letter_mc.docx 04/15/2022
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.