Cognitive Testing of Current Population Survey Veterans Supplement

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⚠️ Notice: This information collection may be referencing outdated material.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

Information Collection (IC) Details

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:

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 %

	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

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.