Information Collection

CEQ Records Study

IC 195922 under ICR 201010-1220-002 · OMB 1220-0050.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1220-0050 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form CEQ Records Study CEQ Records Study	Form and Instruction
CEQ Records Study CEQ Records Study Attachment W(a) - Records_study_overview_final.docx	Form and Instruction
CEQ Records Study CEQ Records Study specs Attachment W(b) - Modified 2010 CEQ Interview specs for Records Study.docx	Form and Instruction
Attachment W(c) - First interview debriefing questions .pdf Attachment W(c) - 1st interview debriefing questions	IC Document
Attachment W(d) - 2009 CEQ Information Booklet.pdf Attachment W(d) - Info Booklet	IC Document
Attachment W(e) - Second Interview protocol including debriefing.pdf Attachment W(e) - 2nd Debriefing	IC Document
Attachment W(f) - Records Study Advance Letter.pdf Attachment W(f) - Advanced Letter	IC Document
Attachment W(g) - Interview 1 Consent Form.pdf Attachment W(g) interview 1 consent form	IC Document
Attachment W(h) - Interview 2 Consent Form.pdf Attachment W(h) interview 2 consent form	IC Document
Attachment W(i) - Expense list.pdf Attachment W(i) - Expense list	IC Document

IC Title:

CEQ Records Study

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 and Instruction	CEQ Records Study specs	CEQ Records Study specs	Attachment W(b) - Modified 2010 CEQ Interview specs for Records Study.docx		No		Fillable Printable
Form and Instruction	CEQ Records Study	CEQ Records Study	Attachment W(a) - Records_study_overview_final.docx		No		Fillable Printable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 100

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	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	200	200
Annual IC Time Burden (Hours)	350	350
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Attachment W(c) - 1st interview debriefing questions	Attachment W(c) - First interview debriefing questions .pdf	01/11/2011
Attachment W(d) - Info Booklet	Attachment W(d) - 2009 CEQ Information Booklet.pdf	01/11/2011
Attachment W(e) - 2nd Debriefing	Attachment W(e) - Second Interview protocol including debriefing.pdf	01/11/2011
Attachment W(f) - Advanced Letter	Attachment W(f) - Records Study Advance Letter.pdf	01/11/2011
Attachment W(g) interview 1 consent form	Attachment W(g) - Interview 1 Consent Form.pdf	01/11/2011
Attachment W(h) interview 2 consent form	Attachment W(h) - Interview 2 Consent Form.pdf	01/11/2011
Attachment W(i) - Expense list	Attachment W(i) - Expense list.pdf	01/11/2011

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