Information Collection

Uranium Survey Cognitive Research

IC 240021 under ICR 201902-1905-001 · OMB 1905-0186.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1905-0186 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form EIA-851A&Q Cognitive Protocol_Final.docx	Other-Cognitve Interview Protocol
Generic Clearance for Form EIA-851A&Q.docx Generic Clearance for Form EIA-851A&Q	IC Document
Form EIA-851A&Q Email invitation letter.docx Form EIA-851A&Q Email invitation letter	IC Document
Form EIA-851A&Q Letter.docx Form EIA-851A&Q Invitation Letter	IC Document

IC Title:

Uranium Survey Cognitive Research

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 5 CFR 1320.8

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
Other-Cognitve Interview Protocol			Form EIA-851A&Q Cognitive Protocol_Final.docx		No		Paper Only

Line of Business: Energy

Subfunction: Energy Supply

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 20

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	20	20
Annual IC Time Burden (Hours)	10	10
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Generic Clearance for Form EIA-851A&Q	Generic Clearance for Form EIA-851A&Q.docx	02/20/2020
Form EIA-851A&Q Email invitation letter	Form EIA-851A&Q Email invitation letter.docx	02/20/2020
Form EIA-851A&Q Invitation Letter	Form EIA-851A&Q Letter.docx	02/20/2020

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