HSOII Reference Period

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⚠️ Notice: This information collection may be referencing outdated material.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 1 HSOII Reference Period Form and Instruction
Attachment 1 Initial Screener Questions Appendix 1 - Initial Screener.docx Form and Instruction
Attachment 2 Main Survey Appendix 2 Main Survey.docx Form and Instruction
Note to Reviewer - HSOII Reference Period_Final.DOCX Note to Reviewer - HSOII Reference Period IC Document

Information Collection (IC) Details

IC Title:	HSOII Reference Period	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	Attachment 1	Initial Screener Questions	Appendix 1 - Initial Screener.docx		Yes	Yes	Fillable Fileable
Form and Instruction	Attachment 2	Main Survey	Appendix 2 Main Survey.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: 4,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	4,310	4,310
Annual IC Time Burden (Hours)	252	252
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Note to Reviewer - HSOII Reference Period	Note to Reviewer - HSOII Reference Period_Final.DOCX	09/08/2020

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