UI/UX Stakeholder Analysis: Emerging Technology in Public Safety Use-Cases

Generic Clearance for Usability Data Collections

Documents and Forms

Document Name Document Type
UI_UX Stakeholder Recruitment Qualtrics Survey.pdf Other-Survey
UI_UX Stakeholder supporting Generic Clearance.docx Supporting Statement IC Document
UI_UX Stakeholder First Recruit Email.docx First Recruitment Email IC Document

Information Collection (IC) Details

IC Title:	UI/UX Stakeholder Analysis: Emerging Technology in Public Safety Use-Cases	Agency IC Tracking Number:	NA

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
Other-Survey			UI_UX Stakeholder Recruitment Qualtrics Survey.pdf		Yes	Yes	Fillable Fileable

Line of Business: Disaster Management

Subfunction: Disaster Preparedness and Planning

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 150	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Previously Approved
Annual Number of Responses for this IC	150	150
Annual IC Time Burden (Hours)	38	38
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Supporting Statement	UI_UX Stakeholder supporting Generic Clearance.docx	12/19/2022
First Recruitment Email	UI_UX Stakeholder First Recruit Email.docx	12/19/2022

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