2019 ABS Innovation Module 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⚠️ Notice: This information collection may be referencing outdated material.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 1 2019 ABS Innovation Module Cognitive Testing Form and Instructi
1 Revised Innovation Module Attachment B - Revised Innovation Module.docx Form and Instruction
2 Innovation Handout Attachment C - Innovation Handout 1.docx Form and Instruction
3 Barriers and Drivers Handout Attachment D - Drivers and Barriers to Innovation Handout.docx Form and Instruction
4 Business Strategies Handout Attachment E - Business Strategies Versions A & B.docx Form and Instruction
5 Digital Tech Cards Attachment F - Digital Technologies Cards.docx Form and Instruction
6 Tech Capabilities List Attachment G - Technology Capabilities Lists.docx Form and Instruction
2019 ABS Innovation Module Cogtive Testing OMB Request.docx OMB Memo IC Document
Attachment A - Innovation Module Protocol.docx Protocol IC Document
Attachment H - Consent form with letterhead.doc Consent Form IC Document
Attachment I - Cognitive Interview Recruiting Script.docx Recruitment Script IC Document

Information Collection (IC) Details

IC Title:	2019 ABS Innovation Module 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	1	Revised Innovation Module	Attachment B - Revised Innovation Module.docx	No	Fillable Fileable
Form and Instruction	2	Innovation Handout	Attachment C - Innovation Handout 1.docx	No	Fillable Fileable
Form and Instruction	3	Barriers and Drivers Handout	Attachment D - Drivers and Barriers to Innovation Handout.docx	No	Fillable Fileable
Form and Instruction	4	Business Strategies Handout	Attachment E - Business Strategies Versions A & B.docx	No	Fillable Fileable
Form and Instruction	5	Digital Tech Cards	Attachment F - Digital Technologies Cards.docx	No	Paper Only
Form and Instruction	6	Tech Capabilities List	Attachment G - Technology Capabilities Lists.docx	No	Paper Only

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	2019 ABS Innovation Module Cogtive Testing OMB Request.docx	05/08/2019
Protocol	Attachment A - Innovation Module Protocol.docx	05/08/2019
Consent Form	Attachment H - Consent form with letterhead.doc	05/08/2019
Recruitment Script	Attachment I - Cognitive Interview Recruiting Script.docx	05/08/2019

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