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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Web Diary Feasibility Test CE Diary
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
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
Web Diary Requirements
Web Diary Requirements
Attachment D - Diary 2012 instrument requirements - Web Diary Test changes revised 2012-10.docx
Yes
Yes
Fillable Fileable
Form and Instruction
Web Diary Screen Shots
Web Diary Screen Shots
Attachment E - Screen shots Web Diary 10-9-12.docx
Yes
Yes
Fillable Fileable
Form and Instruction
Web Diary Screening and Debriefing Questions
Web Diary Screening and Debriefing Questions
Attachment F - Web Diary - Screening and Debriefing Questions.docx
Yes
Yes
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:
500
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
1,750
0
322
0
0
1,428
Annual IC Time Burden (Hours)
535
0
0
0
0
535
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Web Diary Feasibility Study Overview
Attachment C - WDF_study_overview 10.9.12.doc
10/10/2012
Attachment G - Sampling Plan
Attachment G - Sampling plan.docx
08/15/2012
Attachment H - Web Diary Usability Round 1
Attachment H - Web Diary Usability Round 1 (Final - 5.17.2012).docx
08/15/2012
Attachment I - Web Diary Usability Round 2
Attachment I - Web Diary Usability Round 2 (Final).docx
10/10/2012
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.