Addendum for IOE Mobile UI Project Phase 2

Generic Clearance for Questionnaire Pretesting Research

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0607-0725 can be found here:

Documents and Forms

Document Name Document Type
Form 1 Addendum for IOE Mobile UI Project Phase 2 Form and Instructi
1 Test materials as seen by respondents Enclosure4 - Reading Materials.pdf Form and Instruction
Enclosure2 - Privacy Act Statement.pdf Privacy Act Statement IC Document
Enclosure3 - Consent Form.pdf Consent Form IC Document
Enclosure1 - Sample study plan.docx Sample Study Plan IC Document
Addendum for IOE Mobile UI project phase 2 v2c.docx Memo IC Document

Information Collection (IC) Details

IC Title:	Addendum for IOE Mobile UI Project Phase 2	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	Test materials as seen by respondents	Enclosure4 - Reading Materials.pdf		No		Fillable Fileable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 180	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	180	180
Annual IC Time Burden (Hours)	195	195
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Privacy Act Statement	Enclosure2 - Privacy Act Statement.pdf	08/02/2018
Consent Form	Enclosure3 - Consent Form.pdf	08/02/2018
Sample Study Plan	Enclosure1 - Sample study plan.docx	08/02/2018
Memo	Addendum for IOE Mobile UI project phase 2 v2c.docx	09/10/2018

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