Information Collection

CE Recall Cognitive Study & update to Kid's Activities Study

IC 202172 under ICR 201111-1220-001 · 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⚠️ Notice: This information collection may be referencing outdated material.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
Attachment B - Cognitive Interview Protocol for CE Recall Study.docx	Other-CE Recall Study Protocol
Attachment C - Web Survey for CE Recall Study.docx	Other-CE Web Survey Protocol
Recall OMB Package.docx CE Recall Study	IC Document
Kid's Activities emails.docx Kid's Activities Emails	IC Document

IC Title:

CE Recall Cognitive Study & update to Kid's Activities Study

Agency IC Tracking Number:

21206 & 21205

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
Other-CE Recall Study Protocol			Attachment B - Cognitive Interview Protocol for CE Recall Study.docx		Yes	No	Printable Only
Other-CE Web Survey Protocol			Attachment C - Web Survey for CE Recall Study.docx		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: 80

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 75 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	80	80
Annual IC Time Burden (Hours)	40	40
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
CE Recall Study	Recall OMB Package.docx	05/08/2012
Kid's Activities Emails	Kid's Activities emails.docx	05/08/2012

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