Information Collection

2010 CCM Recall Bias Panel Study

IC 191702 under ICR 200912-0607-003 · OMB 0607-0958.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Recall Bias Panel 2010 CCM Recall Bias Panel Study	Form
Recall Bias Panel Recall Bias Panel Study Instrument Specifications ATTACHE - RBS Specification.doc	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

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	Recall Bias Panel Study Instrument Specifications	Recall Bias Panel Study Instrument Specifications	ATTACHE - RBS Specification.doc		Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 40,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	40,000	40,000
Annual IC Time Burden (Hours)	10,000	10,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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