Information Collection Request

Middle East Focus Groups, Cognitive Interviews, and Survey

ICR 201509-0704-002 · OMB 0704-0544 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
IRB Approval for HSPC 2014-0734.pdf Supplementary Document Uploaded 2015-09-23 Available
OMB REQUEST Yemen Collection_Signed.pdf Supplementary Document Uploaded 2015-09-23 Available
Action Memo Yemen Signed.pdf Supplementary Document Uploaded 2015-09-23 Available
STATEMENT OF DETERMINATION_08-26-15.docx Supplementary Document Uploaded 2015-09-23 Available
DMDC Recommendation Letter for Yemen Tunisia Information Collection 09042015(2).pdf Supplementary Document Uploaded 2015-09-23 Available
OMB Supporting Statement Part B (Yemen, Revised 090315).doc Supporting Statement B Uploaded 2015-09-23 Available
OMB Supporting Statement Part A (Yemen) revised 11.03.doc Supporting Statement A Uploaded 2015-11-03 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
218318 Middle East Focus Groups, Cognitive Interviews, Survey Other-Recruitment Screener New

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
05/31/2016 6 Months From Approved
2,000 0 0
2,000 0 0
1,000 0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
Middle East Focus Groups, Cognitive Interviews, Survey

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 2,000 0 0 2,000 0 0
Annual Time Burden (Hours) 2,000 0 0 2,000 0 0
Annual Cost Burden (Dollars) 1,000 0 0 1,000 0 0


Reginfo record details
  No