Information Collection

Evaluating Qualifiers in Rating Scales

IC 235163 under ICR 201708-1220-004 · 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⚠️ Notice: This information collection may be referencing outdated material.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

Document Name Document Type
Form Attachment Evaluating Qualifiers in Rating Scales Form and Instruction
Attachment Qualifiers Suvey Instrument Qualifiers Survey Instrument_v2.pdf Form and Instruction
Note to Reviewer - Qualifiers in Rating Scales Final.docx Note to Reviewer - Qualifiers Rating Scale IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Evaluating Qualifiers in Rating Scales	Agency IC Tracking Number:

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	Qualifiers Suvey Instrument	Qualifiers Survey Instrument_v2.pdf		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: 390	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	390	390
Annual IC Time Burden (Hours)	130	130
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Note to Reviewer - Qualifiers Rating Scale	Note to Reviewer - Qualifiers in Rating Scales Final.docx	04/02/2019

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