View Information Collection (IC)

View Information Collection (IC)

ATUS Web Diary Pilot Test 22401
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction Attachment C Debriefing Interview Eligibility and Scheduling Screener Attachment C - Debriefing Interview Eligibility Screener.docx No   Printable Only
Form and Instruction Attachment E Debriefing Interview Protocol Attachment E - Debriefing Interview Protocol.docx No   Printable Only
Form and Instruction Attachment F Web Diary (Screenshots) Attachment F - Web Diary Screenshots.docx Yes Yes Fillable Fileable
Form Attachment G Question Before and After Web Diary Attachment G - Questions Displayed Before and After Web Diary.docx Yes Yes Fillable Fileable
Form and Instruction Attachment D Debriefing Interview Consent Attachment D - Debriefing Interview Consent Statement.docx Yes No Printable Only
Form and Instruction Attachment B Pilot Test Consent Attachment B - Pilot Test Consent Statement_Final.docx Yes Yes Fillable Fileable

General Government Central Records & Statistical Mgt

 

2,540 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 2,540 0 2,540 0 0 0
Annual IC Time Burden (Hours) 518 0 518 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Note to Reviewer - ATUS Web Diary Pilot Test Note to Reviewer - ATUS Web Diary Pilot Test.docx 12/06/2023
Attachment A Attachment A - Pilot Test Recruitment Materials.docx 12/06/2023
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.