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BE-120 Cognitive Interviews
Generic Clearance for Questionnaire Pretesting Research
OMB: 0607-0725
IC ID: 226951
OMB.report
DOC/CENSUS
OMB 0607-0725
ICR 201606-0607-003
IC 226951
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0607-0725 can be found here:
2022-10-14 - Extension without change of a currently approved collection
2019-09-30 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
Form BE-120
BE-120 Cognitive Interviews
Form and Instructi
BE-120 Questionnaire
BE-120 051217.pdf
Form and Instruction
BE-120 V1 Version 1 Supplement
BE-120 Supplemental Questionnaire V1.pdf
Form and Instruction
BE-120 V2 Version 2 Supplement
BE-120 Supplemental Questionnaire V2.pdf
Form and Instruction
BE120 Protocol_20170517.docx
Protocol
IC Document
OMB Letter_BE120_20170522.docx
OMB Memo
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
BE-120 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 and Instruction
BE-120
Questionnaire
BE-120 051217.pdf
No
Fillable Fileable
Form and Instruction
BE-120 V1
Version 1 Supplement
BE-120 Supplemental Questionnaire V1.pdf
No
Fillable Fileable
Form and Instruction
BE-120 V2
Version 2 Supplement
BE-120 Supplemental Questionnaire V2.pdf
No
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
General Government
Subfunction:
Central Records & Statistical Mgt
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
45
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 New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
45
0
45
0
0
0
Annual IC Time Burden (Hours)
93
0
93
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Protocol
BE120 Protocol_20170517.docx
05/22/2017
OMB Memo
OMB Letter_BE120_20170522.docx
05/22/2017
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.