Information Collection

Usability Tester

IC 200634 under ICR 201110-3041-001 · OMB 3041-0154.

Documents and Forms

Document Name Document Type
Form Usability Tester ( Usability Tester Form and Instruction
Usability Tester ( Usability Tester (Web Survey) Appendix D.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Usability Tester	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 16 CFR Parts 1101-1406 (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	Usability Tester (Web Survey)	Usability Tester (Web Survey)	Appendix D.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 20	Number of Respondents for Small Entity: 20

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	20	20
Annual IC Time Burden (Hours)	20	20
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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