Information Collection

Quarterly Interview

IC 46041 under ICR 201405-1220-001 · OMB 1220-0050.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1220-0050 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form CEQ Requirement Sp Quarterly Interview	Form and Instruction
CEQ Requirement Sp Attachment A - CEQ 2013 instrument requirements Attachment A - CEQ 2013 instrument requirements.docx	Form and Instruction
Attachment D - 201 Attachment D - 2013 Reinterview Specs Attachment D - 2013 Final CEQ RI Instrument Specs and Attachments.pdf	Form and Instruction
Attachment B - 201 Attachment B - 2013 CEQ Specifications Attachment B - 2013 CEQ specifications.pdf	Form and Instruction
Attachment A - Sma Requirement Smartphone questions Attachment A � Instrument Requirements Smartphone Use Questions.docx	Form and Instruction
Attachment M - Interview Informational Flyer.pdf Attachment M - Interview Informational Flyer	IC Document
Attachment C (a) - 2013 CE305 Infobook.pdf Information Booklet	IC Document
Attachment I(a) - CEQ Advance Letter the CE 303L1 2 or 5.pdf Quarterly Letters	IC Document

IC Title:

Quarterly Interview

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	CEQ Requirement Specifications	Attachment A - CEQ 2013 instrument requirements	Attachment A - CEQ 2013 instrument requirements.docx	Yes	Yes	Fillable Fileable
Form and Instruction	Attachment D - 2013 ReInterview Specs	Attachment D - 2013 Reinterview Specs	Attachment D - 2013 Final CEQ RI Instrument Specs and Attachments.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	Attachment B - 2013 CEQ Specifications	Attachment B - 2013 CEQ Specifications	Attachment B - 2013 CEQ specifications.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	Attachment A - Smartphone requirements	Requirement Smartphone questions	Attachment A ï¿½ Instrument Requirements Smartphone Use Questions.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: 8,825

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	39,100	39,100
Annual IC Time Burden (Hours)	33,043	33,043
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Attachment M - Interview Informational Flyer	Attachment M - Interview Informational Flyer.pdf	11/01/2012
Information Booklet	Attachment C (a) - 2013 CE305 Infobook.pdf	12/03/2012
Quarterly Letters	Attachment I(a) - CEQ Advance Letter the CE 303L1 2 or 5.pdf	12/19/2012

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