Information Collection

CPS Disability Supplement Testing

IC 198842 under ICR 200809-1220-002 · OMB 1220-0141.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form CPS Disability Sup CPS Disability Supplement Testing	Form and Instruction
CPS Disability Sup CPS Disability Supplement Attachment C - Draft CPS Disability Supplement Questions.docx	Form and Instruction
CPS Disability Sup CPS Disability Supplement Debriefing Items Attachment D - Debriefing Items(07-2011).doc	Form
CPS Disability Round 2 OMB v3.docx CPS Disability Supplement	IC Document

IC Title:

CPS Disability Supplement Testing

Agency IC Tracking Number:

21107

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	CPS Disability Supplement	CPS Disability Supplement	Attachment C - Draft CPS Disability Supplement Questions.docx		No		Printable Only
Form	CPS Disability Supplement Debriefing Items	CPS Disability Supplement Debriefing Items	Attachment D - Debriefing Items(07-2011).doc		No		Printable Only

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 20

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	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

table that charts IC Documents
Title	Document	Date Uploaded
CPS Disability Supplement	CPS Disability Round 2 OMB v3.docx	08/11/2011

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