Sub-study #7_Survey Instrument Designed to Assess Users' Perceptions of Website Changes

Questionnaire Cognitive Interviewing and Pretesting (NCI)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0589 can be found here:

Documents and Forms

Document Name Document Type
Form 1 Sub-study #7_Survey Instrument Designed to Assess Users' Perceptions of Website Changes Form and Instruction
1 ARP Website Survey Attachment 1_ARP Screenshots_survey.docx Form and Instruction
Memo_ARP Survey_5-29-2013.doc Memo_ARP Survey_5-29-2013 IC Document
GC Sub-Study Summary Form_5_22_13.doc GC Sub-Study Summary Form_5_22_13 IC Document

Information Collection (IC) Details

IC Title:	Sub-study #7_Survey Instrument Designed to Assess Users' Perceptions of Website Changes	Agency IC Tracking Number:

IC Status: New

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	1	ARP Website Survey	Attachment 1_ARP Screenshots_survey.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 100	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	100	0	0	0	0	0
Annual IC Time Burden (Hours)	5	0	0	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
Memo_ARP Survey_5-29-2013	Memo_ARP Survey_5-29-2013.doc	06/14/2013
GC Sub-Study Summary Form_5_22_13	GC Sub-Study Summary Form_5_22_13.doc	06/14/2013

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