Information Collection

Quarterly Interview

IC 46041 under ICR 201407-1220-001 · 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⚠️ Notice: This information collection may be referencing outdated material.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 CAPI Requirement S Quarterly Interview	Form and Instruction
CAPI Requirement S CEQ CAP Requirement Specifications Attachment B - CEQ 2015 Instrument Requirements.pdf	Form and Instruction
CEQ RI Requirement CEQ Reinterview Requirement Specifications Attachment E - CEQ RI Instrument Specs and Attachments .pdf	Form and Instruction
Attachment A - Bounding Interview Elimination.docx Attachment A - Bounding Interview Elimination	IC Document
Attachment A (i) - Bounding Interview Research.pdf Attachment A(i) - Bounding Interview Research	IC Document
Attachment G - Information Booklet CE 305.pdf Attachment G - CE 305 Information Booklet	IC Document
Attachment I(a) - CEQ Advance Letter, the CE 303L1, 2 or 5.pdf Attachment I(a) - CEQ Advance Letters	IC Document
Attachment M - Interview Informational Flyer.pdf Attachment M - Interview Informational Flyer	IC Document

IC Title:

Quarterly Interview

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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	CAPI Requirement Specs	CEQ CAP Requirement Specifications	Attachment B - CEQ 2015 Instrument Requirements.pdf		Yes	Yes	Fillable Fileable
Form and Instruction	CEQ RI Requirement Specifications	CEQ Reinterview Requirement Specifications	Attachment E - CEQ RI Instrument Specs and Attachments .pdf		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: 6,986

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	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	31,017	-1,809	-6,274	39,100
Annual IC Time Burden (Hours)	26,126	-1,582	-5,335	33,043
Annual IC Cost Burden (Dollars)	0	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Attachment A - Bounding Interview Elimination	Attachment A - Bounding Interview Elimination.docx	07/03/2014
Attachment A(i) - Bounding Interview Research	Attachment A (i) - Bounding Interview Research.pdf	07/03/2014
Attachment G - CE 305 Information Booklet	Attachment G - Information Booklet CE 305.pdf	07/03/2014
Attachment I(a) - CEQ Advance Letters	Attachment I(a) - CEQ Advance Letter, the CE 303L1, 2 or 5.pdf	07/03/2014
Attachment M - Interview Informational Flyer	Attachment M - Interview Informational Flyer.pdf	07/03/2014

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