Information Collection

Pretesting of 2015 CE Quarterly Changes

IC 210142 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⚠️ Notice: This information collection may be referencing outdated material.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 Pretesting of 2015 CE Quarterly Changes	Form and Instruction
Attachment B Testing Protocol Appendix B - Testing Protocol.docx	Form and Instruction
Note to Reviewer - OMB CEQ 2015 Changes.doc Note to Reviewer - Testing 2015 CEX Changes	IC Document

IC Title:

Pretesting of 2015 CE Quarterly Changes

Agency IC Tracking Number:

21402

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	Testing Protocol	Appendix B - Testing 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: 40

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	40	40
Annual IC Time Burden (Hours)	43	43
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Note to Reviewer - Testing 2015 CEX Changes	Note to Reviewer - OMB CEQ 2015 Changes.doc	01/27/2014

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