Information Collection

Cognitive Testing of the Revised ATUS Lexicon

IC 242558 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⚠️ Notice: This information collection may be referencing outdated material.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 Attachments 1-5 Cognitive Testing of the Revised ATUS Lexicon	Form and Instruction
Attachments 1-5 Survey Protocol Attachments 1- 5 - Survey Protocol.docx	Form and Instruction
Note to Reviewer - ATUS Testing.docx Note to Reviewer - Cognitive Testing of Revised ATUS Lexicon	IC Document

IC Title:

Cognitive Testing of the Revised ATUS Lexicon

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	Attachments 1-5	Survey Protocol	Attachments 1- 5 - 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: 978

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	978	978
Annual IC Time Burden (Hours)	283	283
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Note to Reviewer - Cognitive Testing of Revised ATUS Lexicon	Note to Reviewer - ATUS Testing.docx	07/02/2020

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