Information Collection

Respondent Privacy and Confidentiality Concerns Study

IC 235178 under ICR 201812-0607-001 · OMB 0607-0978.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0607-0978 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Respondent Privacy and Confidentiality Concerns Study	Form and Instruction
1 Respondent Privacy and Confidentiality Concerns Question Attachment 1.docx	Form and Instruction
Respondent Privacy and Confidentiality Concerns Survey OMB Memo.docx OMB Memo	IC Document
Attachment 2.docx Email Invitations	IC Document

IC Title:

Respondent Privacy and Confidentiality Concerns Study

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	1	Respondent Privacy and Confidentiality Concerns Questionnaire	Attachment 1.docx		No		Fillable Fileable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 200

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	200	200
Annual IC Time Burden (Hours)	1,050	1,050
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
OMB Memo	Respondent Privacy and Confidentiality Concerns Survey OMB Memo.docx	03/05/2019
Email Invitations	Attachment 2.docx	03/05/2019

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