Information Collection

CPS Displaced Worker, Job Tenure, and Occupational Mobility Supplement

IC 14615 under ICR 201706-1220-003 · OMB 1220-0104.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1220-0104 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Attachment A-DW Tenure Questionnaire Jan 2018.doc	Other-CATI/CAPI
Attachment D-CPS-Advance_letter_(02-2017).pdf Attachment D - Advance Letter	IC Document
Attachment E-Confidentiality Brochure-(07-2012).pdf Attachment E - Confidentiality Brochure	IC Document

IC Title:

CPS Displaced Worker, Job Tenure, and Occupational Mobility Supplement

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	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-CATI/CAPI			Attachment A-DW Tenure Questionnaire Jan 2018.doc		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: 53,000

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
Annual Number of Responses for this IC	53,000	53,000
Annual IC Time Burden (Hours)	7,067	7,067
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Attachment D - Advance Letter	Attachment D-CPS-Advance_letter_(02-2017).pdf	06/08/2017
Attachment E - Confidentiality Brochure	Attachment E-Confidentiality Brochure-(07-2012).pdf	06/08/2017

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