Information Collection

2020 Respondent Privacy Cognitive Interviews Round 2

IC 231993 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⚠️ Notice: This information collection may be referencing outdated material.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 2020 Respondent Privacy Cognitive Interviews Round 2	Form and Instructi
1 Privacy and Confidentiality Questionnaire Attachment I - Decennial Privacy Concerns Questionnaire_Multi-Person HH 6.27.18.docx	Form and Instruction
Respondent Privacy Concerns OMB Memo (2).docx OMB Memo	IC Document
Attachment II - Recruitment Advertisements.pdf Recruitment Ads	IC Document
Attachment III - Decennial Privacy Concerns Protocol 7.30.18.docx Protocol	IC Document
Attachment IV - Consent Form.docx Consent Form	IC Document
Attachment V - Recruitment Eligibility Screeners.docx Recruitment Screener	IC Document

IC Title:

2020 Respondent Privacy Cognitive Interviews Round 2

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	Privacy and Confidentiality Questionnaire	Attachment I - Decennial Privacy Concerns Questionnaire_Multi-Person HH 6.27.18.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: 20

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

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)	22	22
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
OMB Memo	Respondent Privacy Concerns OMB Memo (2).docx	06/29/2018
Recruitment Ads	Attachment II - Recruitment Advertisements.pdf	06/29/2018
Protocol	Attachment III - Decennial Privacy Concerns Protocol 7.30.18.docx	08/06/2018
Consent Form	Attachment IV - Consent Form.docx	06/29/2018
Recruitment Screener	Attachment V - Recruitment Eligibility Screeners.docx	06/29/2018

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