Information Collection

ATUS 2017 Leave Questions

IC 220553 under ICR 201608-1220-001 · OMB 1220-0141.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1220-0141 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Section 1 In house Interview Questions ATUS 2017 Leave Questions	Form
Form Group 1 Online Group 1 questions ATUS 2017 Leave Questions	Form and Instruction
Form Group 1 Online Group 1 Probe at end Questions ATUS 2017 Leave Questions	Form and Instruction
Form Group 2 Online Group 2 Embedded Probes ATUS 2017 Leave Questions	Form and Instruction
Form Group 2 Group 2 Probes at End ATUS 2017 Leave Questions	Form and Instruction
Section 1 In house Interview Questions Section 1 - In house Interview Questions.docx	Form
Group 1 Online Group 1 questions ATUS Online Group 1 Embedded Probes.pdf	Form and Instruction
Group 1 Online Group 1 Probe at end Questions ATUS Online Group 1 Probes at end.pdf	Form and Instruction
Group 2 Online Group 2 Embedded Probes ATUS Online Group 2 Embedded Probes.pdf	Form and Instruction
Group 2 Group 2 Probes at End ATUS Online Group 2 Probes at end.pdf	Form and Instruction
Note to Reviewer - ATUS Leave Module.docx Note To Reviewer - ATUS 2017 Leave Questions	IC Document

IC Title:

ATUS 2017 Leave Questions

Agency IC Tracking Number:

21610

IC Status: Unchanged

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
Form	Section 1	In house Interview Questions	Section 1 - In house Interview Questions.docx	Yes	No	Printable Only
Form and Instruction	Group 1	Online Group 1 questions	ATUS Online Group 1 Embedded Probes.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	Group 1	Online Group 1 Probe at end Questions	ATUS Online Group 1 Probes at end.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	Group 2	Online Group 2 Embedded Probes	ATUS Online Group 2 Embedded Probes.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	Group 2	Group 2 Probes at End	ATUS Online Group 2 Probes at end.pdf	Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 70

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 50 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	70	70
Annual IC Time Burden (Hours)	43	43
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Note To Reviewer - ATUS 2017 Leave Questions	Note to Reviewer - ATUS Leave Module.docx	03/10/2016

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