Key Elements of Specific Clearance Requests

Key Elements for OMB Memos under the Generic Clearance

for Questionnaire Pretesting Research 0607-0725

Title of the Study

Purpose of the study

• Why is this research being done?

• Who is sponsoring the research?

• What items are new?

• What are the key research questions or substantive issues being examined?

Research Design and Methodology

• What pretesting methods and specific techniques are being used

• Include protocol(s)

Respondents:

• Sample size for study

• Source

  • If source is other than previously approved screener instruments for demographic surveys, include:

    • Screening questions and procedures

    • Total number of potential respondents you expect to screen and burden for this screening

Burden

• Amount of time for all activities not covered under other submissions

Incentives:

• Amount of incentive Justification for requests for incentives above standard amounts ($40 cognitive interviews; $75 focus groups)

List and description of all attachments or enclosures.

Contact person: contact information (e-mail and phone)