Information Collection

Request for Approval for Cognitive Testing of Innovation Module for the 2017 Survey of Business Owners (SBO)

IC 227424 under ICR 201605-3145-001 · OMB 3145-0174.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3145-0174 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Attachment 1 Cognitive interview Recruiting Script.docx	Other-Cognitive interview recruiting
Attachment 2 Interview Questions.docx	Other-Interview questions
Attachment 3 Innovation Testing Interview Protocol.docx	Other-Innovation Testing Interview P
Attachment 4 NSF-NCSES Consent Form.doc	Other-Consent form
OMB Memo Innovation Cognitive testing 07-07-2017.docx Memo for Request for Approval for Cognitive Testing of Innovation Module for the 2017 Survey of Business Owners (SBO)	IC Document

IC Title:

Request for Approval for Cognitive Testing of Innovation Module for the 2017 Survey of Business Owners (SBO)

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Innovation Testing Interview Protocol	Attachment 3 Innovation Testing Interview Protocol.docx	No		Paper Only
Other-Cognitive interview recruiting script	Attachment 1 Cognitive interview Recruiting Script.docx	Yes	Yes	Fillable Printable
Other-Interview questions	Attachment 2 Interview Questions.docx	Yes	Yes	Fillable Printable
Other-Consent form	Attachment 4 NSF-NCSES Consent Form.doc	No		Fillable Printable

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 250

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	250	250
Annual IC Time Burden (Hours)	46	46
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Memo for Request for Approval for Cognitive Testing of Innovation Module for the 2017 Survey of Business Owners (SBO)	OMB Memo Innovation Cognitive testing 07-07-2017.docx	07/07/2017

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