Testing of Revised CIPSEA Pledge

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⚠️ Notice: This information collection may be referencing outdated material.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 Attachment B & C Testing of Revised CIPSEA Pledge Form and Instruction
Attachment B & C Survey Protocol Attachment B and C - Survey Protocol.docx Form and Instruction
Note to Reviewer - CIPSEA OMB Study_OMB_Final.docx Note to Reviewer IC Document

Information Collection (IC) Details

IC Title:	Testing of Revised CIPSEA Pledge	Agency IC Tracking Number:	21703

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	Attachment B & C	Survey Protocol	Attachment B and C - Survey Protocol.docx		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: 600	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	960	960
Annual IC Time Burden (Hours)	260	260
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Note to Reviewer	Note to Reviewer - CIPSEA OMB Study_OMB_Final.docx	02/13/2017

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