Information Collection

Mobile Diary Web Application and Global Questions for CE

IC 206948 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⚠️ Notice: This information collection may be referencing outdated material.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
Form Attachment B Mobile Diary Web Application and Global Questions for CE	Form and Instruction
Attachment B Attachment B- Testing Protocol for Global Questions Attachment B - Testing Protocol for Global Questions.docx	Form and Instruction
Appendix B & C - Testing Protocol & Screen Shots Appendix B & C - Testing Protocol and Screen Shots.docx	Form and Instruction
OMB CEQ Global Questions and Reference Period Revised 2.doc Note to Reviewer - Globals	IC Document
OMB_CE_Mobile_Diary_Testing Phase 1 Revised.docx Note to Reviewer - Mobile Diary Web Application	IC Document

IC Title:

Mobile Diary Web Application and Global Questions for CE

Agency IC Tracking Number:

21305 & 21306

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	Attachment B	Attachment B- Testing Protocol for Global Questions	Attachment B - Testing Protocol for Global Questions.docx		Yes	No	Printable Only
Form and Instruction	Appendix B & C -	Testing Protocol & Screen Shots	Appendix B & C - Testing Protocol and Screen Shots.docx		Yes	No	Printable Only

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 50

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	50	50
Annual IC Time Burden (Hours)	50	50
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Note to Reviewer - Globals	OMB CEQ Global Questions and Reference Period Revised 2.doc	06/20/2013
Note to Reviewer - Mobile Diary Web Application	OMB_CE_Mobile_Diary_Testing Phase 1 Revised.docx	06/20/2013

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