UI/UX Public Safety Stakeholders

Generic Clearance for Usability Data Collections

Documents and Forms

Document Name Document Type
2-3-23 UI_UX Stakeholder Recruitment Qualtrics Survey DISPATCH.docx Other-Survey
2-3-23 UI_UX Stakeholder Recruitment Qualtrics SurveyREVISED.docx Approved Survey IC Document
UI_UX Stakeholder First Recruit Email.docx Recruitment Email IC Document

Information Collection (IC) Details

IC Title:	UI/UX Public Safety Stakeholders	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			2-3-23 UI_UX Stakeholder Recruitment Qualtrics Survey DISPATCH.docx		Yes	Yes	Fillable Fileable

Line of Business: General Science and Innovation

Subfunction: Scientific and Technological Research and Innovation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 40	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	40	40
Annual IC Time Burden (Hours)	10	10
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Approved Survey	2-3-23 UI_UX Stakeholder Recruitment Qualtrics SurveyREVISED.docx	08/08/2023
Recruitment Email	UI_UX Stakeholder First Recruit Email.docx	08/08/2023

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