Information Collection

2018 ABS Technology Module Cog Testing

IC 232233 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⚠️ Notice: This information collection may be referencing outdated material.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 ABS Questionnaire 2018 ABS Technology Module Cog Testing	Form and Instruction
Form 2 ABS R and D Questionnaire 2018 ABS Technology Module Cog Testing	Form and Instruction
Form 3 Attachment D - Technology Module Questionnaire 2018 ABS Technology Module Cog Testing	Form and Instruction
1 ABS Questionnaire Attachment B - 2018 ABS Questions updated.docx	Form and Instruction
2 ABS R and D Questionnaire Attachment C - R and D Questions updated.docx	Form and Instruction
3 Attachment D - Technology Module Questionnaire Attachment D - Technology Module - Updated 08.01.docx	Form and Instruction
2018 ABS OMB Letter - Updated 8.13.18.docx OMB Letter	IC Document
Attachment A - 2018 ABS Testing Protocol updated.docx Protocol	IC Document
Attachment E - Consent Form.doc Consent Form	IC Document
Attachment F - Cognitive Interview Recruiting Script R&D Interviews.docx Recruitment Script	IC Document
Attachment G - Cognitive Interview Recruiting Script Technology Interviews.docx Recruitment Script	IC Document

IC Title:

2018 ABS Technology Module 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	ABS Questionnaire	Attachment B - 2018 ABS Questions updated.docx	No	Fillable Fileable
Form and Instruction	2	ABS R and D Questionnaire	Attachment C - R and D Questions updated.docx	No	Fillable Fileable
Form and Instruction	3	Attachment D - Technology Module Questionnaire	Attachment D - Technology Module - Updated 08.01.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: 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)	25	25
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
OMB Letter	2018 ABS OMB Letter - Updated 8.13.18.docx	08/22/2018
Protocol	Attachment A - 2018 ABS Testing Protocol updated.docx	08/24/2018
Consent Form	Attachment E - Consent Form.doc	08/24/2018
Recruitment Script	Attachment F - Cognitive Interview Recruiting Script R&D Interviews.docx	08/24/2018
Recruitment Script	Attachment G - Cognitive Interview Recruiting Script Technology Interviews.docx	08/24/2018

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