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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
2014 Individual Diary Pilot Test
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Removed
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
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
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:
48
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
0
0
-48
0
0
48
Annual IC Time Burden (Hours)
0
0
-25
0
0
25
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
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.