BE-125 Respondent Debriefings

Generic Clearance for Questionnaire Pretesting Research

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0607-0725 can be found here:

Documents and Forms

Document Name Document Type
Form 1 BE-125 Respondent Debriefings Form and Instructi
1 Questionnaire be125.pdf Form and Instruction
OMB Letter_BE125_20170104.docx OMB Memo IC Document
BE125 debriefing protocol 20161223.docx Debriefing Protocol IC Document

Information Collection (IC) Details

IC Title:	BE-125 Respondent Debriefings	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1	Questionnaire	be125.pdf		No		Fillable Fileable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 15	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	15	15
Annual IC Time Burden (Hours)	29	29
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
OMB Memo	OMB Letter_BE125_20170104.docx	01/04/2017
Debriefing Protocol	BE125 debriefing protocol 20161223.docx	12/27/2016

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