2020 CBAMS Addendum

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⚠️ Notice: This information collection may be referencing outdated material.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 CBAMS Addendum Form and Instructi
1 Demographic Questionnaire Attachment 1 Demographic Questionnaire.docx Form and Instruction
2 Internet and Mobile Experience Questionnaire Attachment 2 Internet-Mobile Experience.docx Form and Instruction
2020 CBAMS OMB Addendum.docx OMB Memo IC Document
Attachment 3 2020 CBAMS Usability Interview Protocol Web.docx Protocol IC Document

Information Collection (IC) Details

IC Title:	2020 CBAMS Addendum	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	Demographic Questionnaire	Attachment 1 Demographic Questionnaire.docx		No		Fillable Fileable
Form and Instruction	2	Internet and Mobile Experience Questionnaire	Attachment 2 Internet-Mobile Experience.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: 1	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	1	1
Annual IC Time Burden (Hours)	1	1
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
OMB Memo	2020 CBAMS OMB Addendum.docx	10/24/2017
Protocol	Attachment 3 2020 CBAMS Usability Interview Protocol Web.docx	10/24/2017

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