Pre-testing of the Spanish HSOII

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⚠️ Notice: This information collection may be referencing outdated material.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 1 & 2 Pre-testing of the Spanish HSOII Form
Attachment 1 & 2 Survey Protocol Attachment 1 & 2 - HSOII Spanish Survey Protocol.docx Form
Note to Review - HSOII Spanish Cognitive Testing.doc Note to Reviewer - Pre-testing of the Spanish HSOII IC Document

Information Collection (IC) Details

IC Title:	Pre-testing of the Spanish HSOII	Agency IC Tracking Number:	21801

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	Attachment 1 & 2	Survey Protocol	Attachment 1 & 2 - HSOII Spanish Survey 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: 80	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	120	120
Annual IC Time Burden (Hours)	47	47
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Note to Reviewer - Pre-testing of the Spanish HSOII	Note to Review - HSOII Spanish Cognitive Testing.doc	10/05/2017

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