Cognitive Research on Experimental CPS Health Insurance Questions

Generic Clearence for Questionnaire Pretesting Research

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0607-0725 can be found here:

Documents and Forms

Document Name Document Type
ombhealthinsuranceenc1.wpd Other-Experimental CPS Health Insura
ombhealthinsuranceenc2.doc Other-Household Roster & Demographic
demos update.wpd Other-Demographic Questions
flashcards update.doc Other-Flashcards
ombhealthinsurance.wpd Cognitive Interviewing Plan IC Document

Information Collection (IC) Details

IC Title:	Cognitive Research on Experimental CPS Health Insurance Questions	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Electronic Capability
Other-Demographic Questions	demos update.wpd	No	Paper Only
Other-Flashcards	flashcards update.doc	No	Paper Only
Other-Experimental CPS Health Insurance Questions	ombhealthinsuranceenc1.wpd	No	Paper Only
Other-Household Roster & Demographics	ombhealthinsuranceenc2.doc	No	Paper Only

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 40	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 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	40	0	0	0	0	0
Annual IC Time Burden (Hours)	40	0	0	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
Cognitive Interviewing Plan	ombhealthinsurance.wpd	05/08/2008

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