Information Collection

Cognitive Testing of Current Population Survey Veterans Supplement

IC 241257 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⚠️ Notice: This information collection may be referencing outdated material.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 A Cognitive Testing of Current Population Survey Veterans Supplement	Form and Instruction
Appendix F Verbal Consent Final.docx	Instruction
Attachment A Cognitive Interview Protocol Appendix A Cognitive Interview Protocol Phone Final.docx	Form and Instruction
Attachment B Online Survey Appendix B Online Survey.docx	Form and Instruction
Attachment E Recruitment Script Appendix E Recruitment and Eligibility Script Final.docx	Form and Instruction
Note to Reviewer - OMB Package_CPS Veterans_updated with telephone only Final.docx Note to Reviewer - CPS Veterans Supplement	IC Document
Appendix C VIP Panel Advertisement.docx Attachment C - VIP Panel Advertisement	IC Document
Appendix D Online Advertisement Final.docx Attachment D - Online Advertisement	IC Document

IC Title:

Cognitive Testing of Current Population Survey Veterans Supplement

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	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	Attachment A	Cognitive Interview Protocol	Appendix A Cognitive Interview Protocol Phone Final.docx	Yes	No	Printable Only
Form and Instruction	Attachment B	Online Survey	Appendix B Online Survey.docx	Yes	Yes	Fillable Fileable
Form and Instruction	Attachment E	Recruitment Script	Appendix E Recruitment and Eligibility Script Final.docx	Yes	No	Printable Only
Instruction			Appendix F Verbal Consent Final.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: 716

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 70 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	716	716
Annual IC Time Burden (Hours)	207	207
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Note to Reviewer - CPS Veterans Supplement	Note to Reviewer - OMB Package_CPS Veterans_updated with telephone only Final.docx	04/08/2020
Attachment C - VIP Panel Advertisement	Appendix C VIP Panel Advertisement.docx	04/08/2020
Attachment D - Online Advertisement	Appendix D Online Advertisement Final.docx	04/08/2020

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