Information Collection

BE-120 Cognitive Interviews

IC 226951 under ICR 201606-0607-003 · OMB 0607-0725.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
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

IC Title:

BE-120 Cognitive Interviews

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available 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

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 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	45	45
Annual IC Time Burden (Hours)	93	93
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.