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Federal forms, ICRs, and supporting documents

Information Collection

Usability Test of the Food Log portion of FoodLogger- A Smartphone Application

IC 246374 under ICR 201903-0536-001 · OMB 0536-0073.

Documents and Forms
Document Name
Document Type
Other-Participant Recruitment Advert
Other-Participant Recruitment Flyer
Other-Screener Questionnaire
Instruction
Instruction
Other-Consent Form
Other-Demographic Questionnaire
Instruction
Other-Debriefing Guide for Installin
Other-Debriefing Guide for Data Entr
Instruction
Other-Usability Issues Log
Other-Debriefing Guide for Field Dat
Other-Debriefing Guide for Field Dat
Other-Incentive Voucher
Other-Critical Tasks
Instruction
Instruction
Instruction
Other-Paradata and User-Observed Var
Other-Protocol for Lab-Based Usabili
Other-Debriefing Guide for Lab-Based
Other-Satisfaction Questionnaire
Other-Workflow for Preparing Food It
Instruction
Other-Screenshots of Smartphone Appl
Other-Food Log Questionnaire for the
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Usability Test of the Food Log portion of FoodLogger- A Smartphone Application
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Participant Recruitment Advertisement Script Appendix B Participant Recruitment Advertisement Script_03182021.docx No   Printable Only
Other-Participant Recruitment Flyer Appendix C Participant Recruitment Flyer.docx No   Printable Only
Other-Screener Questionnaire Appendix D Screener Questionnaire for Participant Recruitment_03172021.docx Yes Yes Fillable Fileable
Instruction Appendix E Introduction on Day 1_03172021.docx No   Printable Only
Instruction Appendix F Disclaimer_03182021.docx Yes No Printable Only
Other-Consent Form Appendix G Consent Form_03172021.docx Yes No Printable Only
Other-Demographic Questionnaire Appendix H Demographic Questionnaire_03172021.docx Yes Yes Fillable Fileable
Instruction Appendix I Courseware for FoodLogger Installation and Data Entry Training_03172021.pptx Yes No Printable Only
Other-Debriefing Guide for Installing FoodLogger Appendix J Debriefing Guide for Installing FoodLogger.docx Yes Yes Fillable Fileable
Other-Debriefing Guide for Data Entry Training Appendix K Debriefing Guide for Data Entry Training_03172021.docx Yes Yes Fillable Fileable
Instruction Appendix L Instructions for Field Data Entry.docx Yes No Printable Only
Other-Usability Issues Log Appendix M Usability Issues Log.docx Yes No Printable Only
Other-Debriefing Guide for Field Data Entry (Days 1-3) Appendix N Debriefing Guide for Field Data Entry (Days 1-3).docx Yes Yes Fillable Fileable
Other-Debriefing Guide for Field Data Entry (Days 4-7) Appendix O Debriefing Guide for Field Data Entry (Days 4-7)_03172021.docx Yes Yes Fillable Fileable
Other-Incentive Voucher Appendix P Incentive Voucher.docx Yes No Printable Only
Other-Critical Tasks Appendix Q Critical Tasks.docx Yes No Printable Only
Instruction Appendix R Food-at-Home (FAH) Use Case.docx Yes No Printable Only
Instruction Appendix S Food-away-from-Home (FAFH) Use Case.docx Yes No Printable Only
Instruction Appendix T School-Meal Use Cases.docx Yes No Printable Only
Other-Paradata and User-Observed Variables for Usability Evaluation Appendix U Paradata and User-Observed Variables for Usability Evaluation.docx Yes No Printable Only
Other-Protocol for Lab-Based Usability Testing Appendix V Protocol for Lab-Based Usability Testing.docx Yes No Printable Only
Other-Debriefing Guide for Lab-Based Usability Testing Appendix W Debriefing Guide for Lab-Based Usability Testing.docx Yes Yes Fillable Fileable
Other-Satisfaction Questionnaire Appendix X Satisfaction Questionnaire.docx Yes Yes Fillable Fileable
Other-Workflow for Preparing Food Items for Lab-Based Usability Testing Appendix Y Workflow for Preparing Food Items for Lab-Based Usability Testing.docx Yes No Printable Only
Instruction Appendix Z Instructions for Installing Microsoft Teams.docx Yes No Printable Only
Other-Screenshots of Smartphone Application - FoodLogger Appendix A Screenshots of Smartphone Application - FoodLogger_03232021.docx Yes Yes Fillable Fileable
Other-Food Log Questionnaire for the FoodLogger Appendix A-1 Food Log Questionnaire for the FoodLogger_03232021.docx Yes Yes Fillable Fileable

Income Security Food and Nutrition Assistance

 

28 0
   
Individuals or Households
 
   100 %

  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 28 0 28 0 0 0
Annual IC Time Burden (Hours) 159 0 159 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
FoodLogger_Usability_Test_Generic_Clearance FoodLogger_Usability_Test_Generic_Clearance_03182021.docx 03/23/2021
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.