Information Collection

Evaluating Qualifiers in Rating Scales

IC 239695 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⚠️ Notice: This information collection may be referencing outdated material.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 Attachment 2 Evaluating Qualifiers in Rating Scales	Form and Instruction
Attachment 2 Survey Protocol Attachment 2 - Survey Protocol.docx	Form and Instruction
Note to Reviewer - Evaluating Qualifiers.docx Note to Reviewer - Evaluating Qualifiers in Rating Scales	IC Document
Attachment 1 - QualifiersESRA presentation.pdf Attachment 1 - Study Findings	IC Document

IC Title:

Evaluating Qualifiers in Rating Scales

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	Attachment 2	Survey Protocol	Attachment 2 - Survey Protocol.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: 1,428

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,428	1,428
Annual IC Time Burden (Hours)	238	238
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Note to Reviewer - Evaluating Qualifiers in Rating Scales	Note to Reviewer - Evaluating Qualifiers.docx	01/31/2020
Attachment 1 - Study Findings	Attachment 1 - QualifiersESRA presentation.pdf	01/31/2020

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