Pretesting CE 2019 Interview and Diary Changes

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⚠️ Notice: This information collection may be referencing outdated material.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 Appendix B and C Pretesting CE 2019 Interview and Diary Changes Form and Instruction
Appendix B and C Interview Protocol and Consent Form Appendix B and C - Interview Protocol and Consent Form.docx Form and Instruction
Note to Reviewer - OMB CEQ and CED 2019.docx Note to Reviewer - Pretesting 2019 CE Changes IC Document

Information Collection (IC) Details

IC Title:	Pretesting CE 2019 Interview and Diary Changes	Agency IC Tracking Number:	21802

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	Appendix B and C	Interview Protocol and Consent Form	Appendix B and C - Interview Protocol and Consent Form.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: 335	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 83 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	335	335
Annual IC Time Burden (Hours)	154	154
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Note to Reviewer - Pretesting 2019 CE Changes	Note to Reviewer - OMB CEQ and CED 2019.docx	01/09/2018

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