View Information Collection (IC)

View Information Collection (IC)

2014 Individual Diary Pilot Test
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form Attachment B(a) Screenshots of Web Diary Attachment B (a) - ChangePasswordMobile.jpg Yes Yes Fillable Fileable
Form Attachment B (b) Screenshot of Web Diary Attachment B (b) - LogInMobile.jpg Yes Yes Fillable Fileable
Form Attachment B (c) Screenshot of Web Diary Attachment B (c) - LogInWebDiary.jpg Yes Yes Fillable Fileable
Form Attachment B (c) Screenshot of Web Diary Attachment B (c) -WebDiaryClothingShoesAccessories.jpg Yes Yes Fillable Fileable
Form Attachment B (d) Screenshot of Web Diary Attachment B (d) -MobileAddAnExpense.jpg Yes Yes Fillable Fileable
Form Attachment B (e) Screenshot of Web Diary Attachment B (e) -MobileClothingJewelryAccessories.jpg Yes Yes Fillable Fileable
Form Attachment B (e) Screenshot of Web Diary Attachment B (e) -MobileContinuetoSummaryScreen.jpg Yes Yes Fillable Fileable
Form Attachment B (e) Screenshot of Web Diary Attachment B (f) -MobileFoodAwayFromHome.jpg Yes Yes Fillable Fileable
Form Attachment B (g) Screenshot of Web Diary Attachment B (g) -MobileFoodDrinkHomeConsumption.jpg Yes Yes Fillable Fileable
Form Attachment B (h) Screenshot of Web Diary Attachment B (h) - MobileLogOutScreen.jpg Yes Yes Fillable Fileable
Form Attachment B (i) Screenshot of Web Diary Attachment B (i) -MobileOtherProductsServices.jpg Yes Yes Fillable Fileable
Form Attachment B (j) Screenshot of Web Diary Attachment B (j) - MobileSummaryofExpensesScreen.jpg Yes Yes Fillable Fileable
Form Attachment B (k) Screenshot of Web Diary Attachment B (k) - WebDiaryAllOtherProductsSrvcs.jpg Yes Yes Fillable Fileable
Form Attachment B (l) Screenshot of Web Diary Attachment B (l) - WebDiaryChangePasswordScreen.jpg Yes Yes Fillable Fileable
Form Attachment B (m) Screenshot of Web Diary Attachment B (m) - WebDiaryFoodDrinkAwayHome.jpg Yes Yes Fillable Fileable
Form Attachment B (n) Screenshot of Web Diary Attachment B (n) - WebDiaryFoodDrinkHomeConsumption.jpg Yes Yes Fillable Fileable
Form Attachment B (o) Screenshot of Web Diary Attachment B (o) - WebDiaryLoggingOut.jpg Yes Yes Fillable Fileable
Form Attachment B (p) Screenshot of Web Diary Attachment B (p) - WebDiaryStartDate.jpg Yes Yes Fillable Fileable
Form Attachment B (q) Screenshot of Web Diary Attachment B (q) - WebDiarySubmit.jpg Yes Yes Fillable Fileable

General Government Central Records & Statistical Mgt

 

48 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 48 0 48 0 0 0
Annual IC Time Burden (Hours) 25 0 25 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Attachment A - Pilot Overview Attachment A - IDF_pilot_report_overview.doc 01/08/2014
Advance Letter Attachment C (a) - Advanced Letter CE 803L 2013.pdf 01/08/2014
Respondent User Guide Attachment C (b) - IDFTRespondentUserGuideWebDiary_Final.doc 01/08/2014
Talking Points Attachment C (c) - IDMobile FR Talking Points_Usability Test.docx 01/08/2014
Talking Points Attachment C (d) - IDWebDiaryFRTalkingPoints_Final.docx 01/08/2014
Pamphlet Attachment C (e) - Mobile Diary Pamphlet 5Dec2013.docx 01/08/2014
Phase I Testing Report Attachment D - CE Mobile Diary Phase I Testing Report (7-29-2013).docx 01/08/2014
Analysis Plan Attachment E - Individual diary analysis plan_07_09_13.docx 01/08/2014
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.