2020 Respondent Privacy 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⚠️ Notice: This information collection may be referencing outdated material.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 2020 Respondent Privacy Cognitive Interviews Form and Instructi
1 Privacy Concerns Questionnaire Attachment I - Respondent Privacy Concerns Questionnaire.docx Form and Instruction
Respondent Privacy Concerns OMB Memo.docx OMB Memo IC Document
Attachment II - Recruitment Advertisements.pdf Recruitment Ads IC Document
Attachment III - Privacy Concerns Questionnaire Cognitive Interview Protocol.docx Protocol IC Document
Attachment IV - Consent Form.docx Consent Form IC Document
Attachment V - Recruitment Eligibility Screeners.docx Screener IC Document

Information Collection (IC) Details

IC Title:	2020 Respondent Privacy 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	1	Privacy Concerns Questionnaire	Attachment I - Respondent Privacy Concerns 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: 40	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	40	40
Annual IC Time Burden (Hours)	44	44
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
OMB Memo	Respondent Privacy Concerns OMB Memo.docx	08/14/2017
Recruitment Ads	Attachment II - Recruitment Advertisements.pdf	08/14/2017
Protocol	Attachment III - Privacy Concerns Questionnaire Cognitive Interview Protocol.docx	08/15/2017
Consent Form	Attachment IV - Consent Form.docx	08/15/2017
Screener	Attachment V - Recruitment Eligibility Screeners.docx	08/15/2017

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