View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	Quantitative Web User Experience Testing (Rapid) Survey for Soliciting Feedback for the Department of Labor Employment and Benefits Security Administration Website	Agency IC Tracking Number:

IC Status: Unchanged

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	NA	EBSA Quantitative Web UX Testing Rapid Survey	DOL_EBSA_Quantitative Web UX Testing Rapid Survey_Digital V03.docx		Yes	No	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 900	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Requested	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	900	0	0	0	0	900
Annual IC Time Burden (Hours)	300	0	0	0	0	300
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
1225-0093 - Supporting Statement - EBSA Quant Web UX Testing Rapid Survey	DOL_EBSA_Quant Web UX Testing Rapid Survey_1225-0093 - A11 Section 280 Clearance.docx	12/09/2022
EBSA Quant Web UX Testing Rapid - Consent Form	DOL_EBSA_Feedback_Quant Web UX Testing Rapid Survey_Consent Form.docx	12/09/2022

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.