Information Collection

Pretesting of Proposed Revisions to the 2021 CE Quarterly Interview Survey

IC 239545 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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
Document Name	Document Type
Form Appendix A-C Pretesting of Proposed Revisions to the 2021 CE Quarterly Interview Survey	Form and Instruction
Appendix A-C Survey Protocol Appendix A-C - Survey Protocol_final.docx	Form and Instruction
Note to Reviewer - Pretesting of Proposed Revisions to the 2021 CE Quarterly Interview Survey_final.docx Note to Reviewer	IC Document

IC Title:

Pretesting of Proposed Revisions to the 2021 CE Quarterly Interview Survey

Agency IC Tracking Number:

IC Status: New

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-C	Survey Protocol	Appendix A-C - Survey Protocol_final.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: 260

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 92 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	260	260
Annual IC Time Burden (Hours)	54	54
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Note to Reviewer	Note to Reviewer - Pretesting of Proposed Revisions to the 2021 CE Quarterly Interview Survey_final.docx	03/05/2020

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