Information Collection

CPS Disability Supplement - Cognitive Testing

IC 197840 under ICR 201108-1220-002 · 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⚠️ Notice: This information collection may be referencing outdated material.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 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

IC Title:

CPS Disability Supplement - Cognitive Testing

Agency IC Tracking Number:

21105

IC Status: Unchanged

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	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 %

table that charts list of burden
	Requested	Previously Approved
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

table that charts IC Documents
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.