Information Collection

ATUS Sleep Validation Study

IC 221138 under ICR 201706-1220-008 · 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⚠️ Notice: This information collection may be referencing outdated material.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 Appendix A ATUS Sleep Validation Study	Form and Instruction
Appendix A Interview Protocol Appendix A - Interview Protocol.docx	Form and Instruction
Appendix D Recruiting Script Appendix D - Recruiting Script.docx	Form and Instruction
OMB ATUS Sleep Validation Study (9May16).docx Note to Reviewer	IC Document

IC Title:

ATUS Sleep Validation Study

Agency IC Tracking Number:

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	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	Appendix A	Interview Protocol	Appendix A - Interview Protocol.docx		Yes	No	Printable Only
Form and Instruction	Appendix D	Recruiting Script	Appendix D - Recruiting Script.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: 55

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	55	55
Annual IC Time Burden (Hours)	77	77
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Note to Reviewer	OMB ATUS Sleep Validation Study (9May16).docx	05/09/2016

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