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Cognitive and Usability Testing of a Self-Administered Current Population Survey (CPS)
Generic Clearance for Questionnaire Pretesting Research
OMB: 0607-0725
IC ID: 263029
OMB.report
DOC/CENSUS
OMB 0607-0725
ICR 202508-0607-002
IC 263029
( )
Documents and Forms
Document Name
Document Type
Form 1
Cognitive and Usability Testing of a Self-Administered Current Population Survey (CPS)
Form and Instruction
1 Questionnaire
Attachment 3 Self_Resp Quex.xlsx
Form and Instruction
2 UX Satisfaction
Attachment 6 UX Satisfaction questions.docx
Form and Instruction
OMB Memo Core_101723.docx
Memo
IC Document
Attachment 1 Screener_102323.docx
Screener
IC Document
Attachment 2 Ads.docx
Ads
IC Document
Attachment 4 CPS Protocol_102323.docx
CPS Protocol
IC Document
Attachment 5 Core UX Protocol.docx
Core UX Protocol
IC Document
Attachment 7 Consent form_102323.docx
Consent form
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Cognitive and Usability Testing of a Self-Administered Current Population Survey (CPS)
Agency IC Tracking Number:
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
Form and Instruction
1
Questionnaire
Attachment 3 Self_Resp Quex.xlsx
No
Fillable Fileable
Form and Instruction
2
UX Satisfaction
Attachment 6 UX Satisfaction questions.docx
No
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
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 %
Requested
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
200
0
0
0
0
200
Annual IC Time Burden (Hours)
500
0
0
0
0
500
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Memo
OMB Memo Core_101723.docx
10/25/2023
Screener
Attachment 1 Screener_102323.docx
10/25/2023
Ads
Attachment 2 Ads.docx
10/25/2023
CPS Protocol
Attachment 4 CPS Protocol_102323.docx
10/25/2023
Core UX Protocol
Attachment 5 Core UX Protocol.docx
10/25/2023
Consent form
Attachment 7 Consent form_102323.docx
10/25/2023
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.