Information Collection

MEPS–IC Cog Testing

IC 228585 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⚠️ Notice: This information collection may be referencing outdated material.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 1 MEPS–IC Cog Testing	Form and Instructi
1 MEPS-10 meps10_050417_D10.pdf	Form and Instruction
2 MEPS-10S meps10s_032917_D6.pdf	Form and Instruction
3 MEPS-11 meps11_050417_D7.pdf	Form and Instruction
4 MEPS-11S meps11s_041317_D4.pdf	Form and Instruction
MEPS_IC_OMB_letter_10.05.2017.docx OMB Memo	IC Document
MEPS Interview Protocol 100517.docx Protocol	IC Document

IC Title:

MEPSâIC Cog Testing

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	1	MEPS-10	meps10_050417_D10.pdf	No	Fillable Fileable
Form and Instruction	2	MEPS-10S	meps10s_032917_D6.pdf	No	Fillable Fileable
Form and Instruction	3	MEPS-11	meps11_050417_D7.pdf	No	Fillable Fileable
Form and Instruction	4	MEPS-11S	meps11s_041317_D4.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: 50

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	50	50
Annual IC Time Burden (Hours)	29	29
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
OMB Memo	MEPS_IC_OMB_letter_10.05.2017.docx	10/06/2017
Protocol	MEPS Interview Protocol 100517.docx	10/06/2017

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