Information Collection

Cognitive Testing of ATUS Sleep Measures and Sleep Estimate Questions

IC 207879 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⚠️ Notice: This information collection may be referencing outdated material.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
Appendix A - ATUS Sleep Patterns Cognitive Interview Protocol.docx	Other-Cognitive Interview Protocol
Note to Reviewer - ATUS Sleep OMB Protocol.docx Note to Review - ATUS Sleep Measures	IC Document

IC Title:

Cognitive Testing of ATUS Sleep Measures and Sleep Estimate Questions

Agency IC Tracking Number:

21311

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-Cognitive Interview Protocol			Appendix A - ATUS Sleep Patterns Cognitive Interview Protocol.docx		No		Printable 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
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	30	30
Annual IC Time Burden (Hours)	33	33
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Note to Review - ATUS Sleep Measures	Note to Reviewer - ATUS Sleep OMB Protocol.docx	07/23/2013

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