Information Collection

BRDS Cognitive Testing

IC 231985 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⚠️ Notice: This information collection may be referencing outdated material.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 BRDS Cognitive Testing	Form and Instructi
1 Aritificial Intelligence Questionnaire Enc 2 artificial intelligence.pdf	Form and Instruction
2 Leased / Temporary Employees Questionnaire Enc 3 leased or temporary employees.pdf	Form and Instruction
OMB Request - 2018 BRDIS Cognitive Interviewing -Artificial Intelligence.docx OMB Memo	IC Document
Enc 1 BRDS Protocol_revised 8-14-2018.docx Protocol	IC Document
Enc 4 Artificial intelligence definition_revised_81418.docx AI Definition	IC Document
Enc 5 BRDI Consent form.docx Consent Form	IC Document

IC Title:

BRDS Cognitive 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	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1	Aritificial Intelligence Questionnaire	Enc 2 artificial intelligence.pdf		No		Fillable Fileable
Form and Instruction	2	Leased / Temporary Employees Questionnaire	Enc 3 leased or temporary employees.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: 20

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	20	20
Annual IC Time Burden (Hours)	30	30
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
OMB Memo	OMB Request - 2018 BRDIS Cognitive Interviewing -Artificial Intelligence.docx	08/22/2018
Protocol	Enc 1 BRDS Protocol_revised 8-14-2018.docx	08/22/2018
AI Definition	Enc 4 Artificial intelligence definition_revised_81418.docx	08/22/2018
Consent Form	Enc 5 BRDI Consent form.docx	08/22/2018

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