Information Collection

Quarterly Interview

IC 46041 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⚠️ Notice: This information collection may be referencing outdated material.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 E - CEQ RI Instrument Specs and Attachments .pdf	Other-Specifications
Attachment B - 2017 CEQ CAPI Instrument Specifications.docx	Other-Specifications
Attachment AA - CEQ April 2017 Instrument Requirements - Outlet Test Questions.docx	Other-Specifications
Attachment O - CE I&O Pin Letter.pdf CE I&O Pin Letter	IC Document
Attachment W - CE I&O Debit Card Sleeve - Final.pdf Attachment W - CE I&O Debit Card Sleeve	IC Document
Attachment I (a) - Interview Advance Letter - First Interview - CE 303l1 Final 2017.pdf Attachment I(a) - Advance letter	IC Document
Attachment I (b) - Interview Advance Letter - Second Interview - CE 303L2 2015.pdf Attachment I(b) - Advance Letter 2	IC Document
Attachment I (c) - Interview Advance Letter - Third Interview - CE 303l2r 2017 Final.pdf Attachment 3 - Advance letter 3	IC Document
Attachment I (d) - Interview Advance Letter - Fourth Interview - CE 303L4 2017 Final.pdf Attachment I(d) - Advance Letter 4	IC Document
Attachment M - Interview Informational Flyer.pdf Attachment M - Interview Informational Flyer	IC Document
Attachment Z - CEQ April 2017 Instrument Requirements - CE Changes.docx Attachment Z - CEQ changes	IC Document
Attachment AA - CEQ April 2017 Instrument Requirements - Outlet Test Questions.docx Attachment AA	IC Document
Attachment K(b) - CE-303-L6 Interview Thank you Letter.pdf Attachment K(b) - CE303-L6 Thank you letter	IC Document
Attachment G - CE 305 2017 CEQ INFOBOOK OMB.pdf Attachment G - CEQ Information Booklet	IC Document
Attachment BB- Incentives Outlets Test Overview.docx Incentives/Outlets Field Test Overview	IC Document
Attachment CC (1)- Treatement Group 1 CEQ Advance Letter.pdf Attachment CC - Group 1 Advance letter	IC Document
Attachment CC (2) - Treatement Group 2 CEQ Advance Letter.pdf Attachment CC(2) - Advance letter	IC Document
Attachment CC (3) - Treatement Group 3 CEQ Advance Letter.pdf Attachment CC (3) Advance letter	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Quarterly Interview

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	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Specifications	Attachment E - CEQ RI Instrument Specs and Attachments .pdf	Yes	Yes	Fillable Fileable
Other-Specifications	Attachment B - 2017 CEQ CAPI Instrument Specifications.docx	Yes	Yes	Fillable Fileable
Other-Specifications	Attachment AA - CEQ April 2017 Instrument Requirements - Outlet Test Questions.docx	Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 7,327

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	29,952	-678	30,630
Annual IC Time Burden (Hours)	28,988	2,813	26,175
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
CE I&O Pin Letter	Attachment O - CE I&O Pin Letter.pdf	01/12/2016
Attachment W - CE I&O Debit Card Sleeve	Attachment W - CE I&O Debit Card Sleeve - Final.pdf	01/12/2016
Attachment I(a) - Advance letter	Attachment I (a) - Interview Advance Letter - First Interview - CE 303l1 Final 2017.pdf	07/13/2016
Attachment I(b) - Advance Letter 2	Attachment I (b) - Interview Advance Letter - Second Interview - CE 303L2 2015.pdf	07/13/2016
Attachment 3 - Advance letter 3	Attachment I (c) - Interview Advance Letter - Third Interview - CE 303l2r 2017 Final.pdf	07/13/2016
Attachment I(d) - Advance Letter 4	Attachment I (d) - Interview Advance Letter - Fourth Interview - CE 303L4 2017 Final.pdf	07/13/2016
Attachment M - Interview Informational Flyer	Attachment M - Interview Informational Flyer.pdf	07/13/2016
Attachment Z - CEQ changes	Attachment Z - CEQ April 2017 Instrument Requirements - CE Changes.docx	07/13/2016
Attachment AA	Attachment AA - CEQ April 2017 Instrument Requirements - Outlet Test Questions.docx	07/13/2016
Attachment K(b) - CE303-L6 Thank you letter	Attachment K(b) - CE-303-L6 Interview Thank you Letter.pdf	08/30/2016
Attachment G - CEQ Information Booklet	Attachment G - CE 305 2017 CEQ INFOBOOK OMB.pdf	08/30/2016
Incentives/Outlets Field Test Overview	Attachment BB- Incentives Outlets Test Overview.docx	11/09/2016
Attachment CC - Group 1 Advance letter	Attachment CC (1)- Treatement Group 1 CEQ Advance Letter.pdf	11/09/2016
Attachment CC(2) - Advance letter	Attachment CC (2) - Treatement Group 2 CEQ Advance Letter.pdf	11/09/2016
Attachment CC (3) Advance letter	Attachment CC (3) - Treatement Group 3 CEQ Advance Letter.pdf	11/09/2016

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