OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Web Survey: Fact Sheet, Factsheet Testing Screenshots, Video Testing, and Testing Screenshots

IC 202908 under ICR 201206-0920-007 · OMB 0920-0947.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Web Survey: Fact Sheet, Factsheet Testing Screenshots, Video Testing, and Testing Screenshots
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction none Web Survey Factsheet Attachment 3G Web Survey Factsheet Testing Screenshots Rev 9 5.docx No   Paper Only
Form and Instruction none Web Survey Video Attachment 3I Web Survey Video Testing Screenshots Rev 9 5.docx No   Paper Only
Form and Instruction none Web Survey Attachment 3E Web Survey Screener Screenshots Rev 9 5.docx No   Paper Only

Health Health Care Services

 

800 0
   
Individuals or Households
 
   0 %

  Approved 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 800 0 800 0 0 0
Annual IC Time Burden (Hours) 147 0 147 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Attachment 3F Web Survey_Factsheet Testing (rev08272012) Attachment 3F Web Survey_Factsheet Testing (rev08272012).docx 09/07/2012
Attachment 3H Web Survey_Video Testing (rev 08272012) Attachment 3H Web Survey_Video Testing (rev 08272012).docx 09/07/2012
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.