Information Collection

The Diary

IC 38601 under ICR 201903-1220-001 · OMB 1220-0050.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1220-0050 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form CE 801 The Diary	Form and Instruction
Attachment F - CED RI Specifications for a CATI-CAPI Instrument .docx	Other-Specifications
Attachment H - 2020 Diary Information Booklet.pdf	Instruction
Attachment C - Diary Instrument Specifications.pdf	Other-Specificatins
Attachment A (8) LSF CAPI Instrument Specifications.pdf	Other-Specifications
CE 801 CE Diary Form Attachment A (7) CED 2019 Paper DIary.pdf	Form and Instruction
Attachment 6a LSF Online Diary Desktop Screenshots Attachment A (6a) LSF Online Diary Desktop Screenshots.pdf	Form and Instruction
Attachment 6b Online Diary mobile app screenshots Attachment A (6b) LSF Online Diary Mobile Screenshots.pdf	Form and Instruction
Attachment K(a) - CE-803-L6 Diary Thank you Letter.pdf Diary Thank you letter	IC Document
Attachment O - Diary Informational Flyer.pdf Diary Informational Flyer	IC Document
Attachment L - certificate of appreciation, CE-900.pdf Certificate of Appreciation	IC Document
Attachment A - LSF Study Overview.docx Large Scale Feasibility Test Overview	IC Document
Attachment A (1a) LSF postcard incentive group.pdf Attachment 1 (a) - LSF postcard incentive	IC Document
Attachment A (1b) LSF postcard no incentives.pdf Attachment 1(b) LSF Postcard no incentive	IC Document
Attachment A (3) LSF Participant Emails.docx Attachment 3 - LSF Participant emails	IC Document
Attachment A (5) LSF Online Diary video tutorial script.docx Attachment 5 Online Video Webscript	IC Document
Attachment I (e) - Diary Advance Letter - CE 803L 1 2019 OMB Package.pdf Attachment I(e)	IC Document
Attachment A (2a) LSF advance letter incentive group.pdf Attachment A(2a)	IC Document
Attachment A (2b) LSF advance letter no incentives.pdf Attachment A(2b)	IC Document
Attachment A (4) LSF Online Diary User Guide.pdf Attachment A(4) - LSF Online User Guide	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

The Diary

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	CE 801	CE Diary Form	Attachment A (7) CED 2019 Paper DIary.pdf	No		Paper Only
Other-Specifications			Attachment F - CED RI Specifications for a CATI-CAPI Instrument .docx	Yes	No	Fillable Fileable
Instruction			Attachment H - 2020 Diary Information Booklet.pdf	No		Paper Only
Other-Specificatins			Attachment C - Diary Instrument Specifications.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	Attachment 6a	LSF Online Diary Desktop Screenshots	Attachment A (6a) LSF Online Diary Desktop Screenshots.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	Attachment 6b	Online Diary mobile app screenshots	Attachment A (6b) LSF Online Diary Mobile Screenshots.pdf	Yes	Yes	Fillable Fileable
Other-Specifications			Attachment A (8) LSF CAPI Instrument Specifications.pdf	Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 7,734

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 25 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	32,356	9,348	23,008
Annual IC Time Burden (Hours)	23,539	6,922	16,617
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Diary Thank you letter	Attachment K(a) - CE-803-L6 Diary Thank you Letter.pdf	04/26/2019
Diary Informational Flyer	Attachment O - Diary Informational Flyer.pdf	04/26/2019
Certificate of Appreciation	Attachment L - certificate of appreciation, CE-900.pdf	04/26/2019
Large Scale Feasibility Test Overview	Attachment A - LSF Study Overview.docx	05/02/2019
Attachment 1 (a) - LSF postcard incentive	Attachment A (1a) LSF postcard incentive group.pdf	05/02/2019
Attachment 1(b) LSF Postcard no incentive	Attachment A (1b) LSF postcard no incentives.pdf	05/02/2019
Attachment 3 - LSF Participant emails	Attachment A (3) LSF Participant Emails.docx	05/02/2019
Attachment 5 Online Video Webscript	Attachment A (5) LSF Online Diary video tutorial script.docx	05/02/2019
Attachment I(e)	Attachment I (e) - Diary Advance Letter - CE 803L 1 2019 OMB Package.pdf	05/23/2019
Attachment A(2a)	Attachment A (2a) LSF advance letter incentive group.pdf	05/23/2019
Attachment A(2b)	Attachment A (2b) LSF advance letter no incentives.pdf	05/23/2019
Attachment A(4) - LSF Online User Guide	Attachment A (4) LSF Online Diary User Guide.pdf	07/01/2019

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