2018 BRDIS Cognitive Testing

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⚠️ Notice: This information collection may be referencing outdated material.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 2 2018 BRDIS Cognitive Testing Form and Instructi
1 BRDIS 2016 Enclosure 2 - 2016 BRDIS Form.pdf Form and Instruction
2 Geography Questions Enclosure 3 - Additional Geography Question Drafts.docx Form and Instruction
3 Capitol Stock Questions Enclosure 4 - Additional Capital Stock Questions.docx Form and Instruction
4 Consent Form Enclosure 5 - Consent Form.doc Form and Instruction
OMB Request - 2018 BRDIS Cognitive Interviewing REVISED.docx OMB Memo IC Document
Enclosure 1 - Protocol 2018 BRDIS Cognitive Testing.docx Protocol IC Document

Information Collection (IC) Details

IC Title:	2018 BRDIS Cognitive Testing	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Electronic Capability
Form and Instruction	2	Geography Questions	Enclosure 3 - Additional Geography Question Drafts.docx	No	Fillable Fileable
Form and Instruction	4	Consent Form	Enclosure 5 - Consent Form.doc	No	Fillable Fileable
Form and Instruction	1	BRDIS 2016	Enclosure 2 - 2016 BRDIS Form.pdf	No	Fillable Fileable
Form and Instruction	3	Capitol Stock Questions	Enclosure 4 - Additional Capital Stock Questions.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: Private Sector	Private Sector: Businesses or other for-profits

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)	50	50
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
OMB Memo	OMB Request - 2018 BRDIS Cognitive Interviewing REVISED.docx	03/15/2018
Protocol	Enclosure 1 - Protocol 2018 BRDIS Cognitive Testing.docx	02/12/2018

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