2018 NCVS PPCS Cognitive Interviews

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⚠️ Notice: This information collection may be referencing outdated material.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 2018 NCVS PPCS Cognitive Interviews Form
1 Full Questionnaire Attachment I 2018 NCVS PPCS Full Questionnaire.docx Form
2018 NCVS PPCS OMB Memo.docx OMB Memo IC Document
Attachment III-V NCVS PPCS 2018 Cog Lab Screeners Communication Materials_041117.docx Screener, Recruitment Ads, Consent Forms IC Document
Attachment II 2018 NCVS PPCS Cognitive Interview Protocol.docx Protocol IC Document

Information Collection (IC) Details

IC Title:	2018 NCVS PPCS Cognitive Interviews	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	1	Full Questionnaire	Attachment I 2018 NCVS PPCS Full Questionnaire.docx		No		Fillable Fileable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 50	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	50	50
Annual IC Time Burden (Hours)	88	88
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
OMB Memo	2018 NCVS PPCS OMB Memo.docx	05/11/2017
Screener, Recruitment Ads, Consent Forms	Attachment III-V NCVS PPCS 2018 Cog Lab Screeners Communication Materials_041117.docx	05/11/2017
Protocol	Attachment II 2018 NCVS PPCS Cognitive Interview Protocol.docx	05/11/2017

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