Information Collection

Re-identification Question Pretesting Survey

IC 237648 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⚠️ Notice: This information collection may be referencing outdated material.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 Re-identification Question Pretesting Survey	Form and Instruction
1 Survey Flow Enclosure2.docx	Form and Instruction
2 Alternate Questions Enclosure1.docx	Form and Instruction
Re-identifications Questions Cog Testing OMB Memo.docx OMB Memo	IC Document
Enclosure3.docx Invitation Emails	IC Document

IC Title:

Re-identification Question Pretesting Survey

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	Survey Flow	Enclosure2.docx		No		Fillable Fileable
Form and Instruction	2	Alternate Questions	Enclosure1.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: 150

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	150	150
Annual IC Time Burden (Hours)	268	268
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
OMB Memo	Re-identifications Questions Cog Testing OMB Memo.docx	09/04/2019
Invitation Emails	Enclosure3.docx	09/04/2019

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