Information Collection

The Diary

IC 38601 under ICR 201607-1220-002 · OMB 1220-0050.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1220-0050 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Attachment C - Diary Jan 2017 CAPI Instrument Requirements.docx	Other-Specifications
Attachment F - CED RI Specifications for a CATI-CAPI Instrument .docx	Other-Specifications
CE-805 Diary Form Attachment D - Diary Form - 2017 CE 801.pdf	Form and Instruction
Attachment I (e) - Diary Advance Letter - CE 803L 2017.pdf Attachment I(e) - Diary Advance Letter	IC Document
Attachment N - Diary Informational Flyer.pdf Attachment N - Diary Informational Flyer	IC Document
Attachment A - List of Changes to the CE Diary.docx Attachment A - Diary Changes	IC Document
Attachment K(a) - CE-803-L6 Diary Thank you Letter.pdf Attachment K(a) - Diary Thank you letter	IC Document
Attachment H - CE-805 - 2017 CE Diary Infobook OMB.pdf Attachment H - Diary Info Booklet	IC Document

IC Title:

The Diary

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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?	Can Be Submitted Electronically?	Electronic Capability
Other-Specifications			Attachment C - Diary Jan 2017 CAPI Instrument Requirements.docx	Yes	Yes	Fillable Fileable
Other-Specifications			Attachment F - CED RI Specifications for a CATI-CAPI Instrument .docx	Yes	Yes	Fillable Fileable
Form and Instruction	CE-805	Diary Form	Attachment D - Diary Form - 2017 CE 801.pdf	No		Paper Only

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 6,600

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 25 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	27,780	-8,100	35,880
Annual IC Time Burden (Hours)	27,730	-4,930	32,660
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Attachment I(e) - Diary Advance Letter	Attachment I (e) - Diary Advance Letter - CE 803L 2017.pdf	07/13/2016
Attachment N - Diary Informational Flyer	Attachment N - Diary Informational Flyer.pdf	07/13/2016
Attachment A - Diary Changes	Attachment A - List of Changes to the CE Diary.docx	07/13/2016
Attachment K(a) - Diary Thank you letter	Attachment K(a) - CE-803-L6 Diary Thank you Letter.pdf	08/30/2016
Attachment H - Diary Info Booklet	Attachment H - CE-805 - 2017 CE Diary Infobook OMB.pdf	08/30/2016

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