CPS Disability Supplement - Cognitive Testing

Cognitive and Psychological Research

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1220-0141 can be found here:

Documents and Forms

Document Name Document Type
Form 1 CPS Disability Supplement - Cognitive Testing Form and Instruction
1 Moderators Guide Survey and Cognitive Interview Protocol updated.docx Form and Instruction
OMB_CPS_Disability_Supplement_CogTest.docx Note to Reviewer - CPS Disability Questions Cognitive Testing IC Document
OMB_CPS_Disability_Supplement_CogTest updated.docx Mini Supporting Statement and associated materials IC Document

Information Collection (IC) Details

IC Title:	CPS Disability Supplement - Cognitive Testing	Agency IC Tracking Number:	21105

IC Status: New

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	Moderators Guide	Survey and Cognitive Interview Protocol updated.docx		No		Paper Only

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 30	Number of Respondents for Small Entity: 0

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	30	30
Annual IC Time Burden (Hours)	30	30
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Note to Reviewer - CPS Disability Questions Cognitive Testing	OMB_CPS_Disability_Supplement_CogTest.docx	05/24/2011
Mini Supporting Statement and associated materials	OMB_CPS_Disability_Supplement_CogTest updated.docx	06/14/2011

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