Usability/Cognitive Testing of Privacy and Confidentiality Messages

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0690-0030 can be found here:

Documents and Forms

Document Name Document Type
Form 0690-0030 Usability/Cognitive Testing of Privacy and Confidentiality Messages Form and Instruction
0690-0030 Survey questions Census Enclosure 2 rev.docx Form and Instruction
Census Enclosure 1.docx Enclosure 1 IC Document
Census Fast Track Cover Letter.docx Fast Track Cover Letter IC Document
Census OMB letter.docx OMB Cover Letter IC Document

Information Collection (IC) Details

IC Title:	Usability/Cognitive Testing of Privacy and Confidentiality Messages	Agency IC Tracking Number:	Census

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	0690-0030	Survey questions	Census Enclosure 2 rev.docx		Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 200	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	200	200
Annual IC Time Burden (Hours)	33	33
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Enclosure 1	Census Enclosure 1.docx	12/14/2016
Fast Track Cover Letter	Census Fast Track Cover Letter.docx	12/14/2016
OMB Cover Letter	Census OMB letter.docx	12/14/2016

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