ORS Cognitive Item Test - Multi Mode

Cognitive and Psychological Research

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Document Name Document Type
Form Appendices A-F ORS Cognitive Item Test - Multi Mode Form and Instruction
Appendices A-F Interview Protocol Appendices A-F - Interview Protocol.docx Form and Instruction
ORS_Cog_items_multi-method_final_9-7-16.docx Note to Reviewer - ORS Cognitive Items Multi Mode Test IC Document

Information Collection (IC) Details

IC Title:	ORS Cognitive Item Test - Multi Mode	Agency IC Tracking Number:	21621

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	Appendices A-F	Interview Protocol	Appendices A-F - Interview Protocol.docx		Yes	No	Printable Only

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 676	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 94 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	676	676
Annual IC Time Burden (Hours)	133	133
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Note to Reviewer - ORS Cognitive Items Multi Mode Test	ORS_Cog_items_multi-method_final_9-7-16.docx	09/07/2016

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