Information Collection

Quarterly Interview

IC 46041 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⚠️ Notice: This information collection may be referencing outdated material.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 Attachment B Interview Instrument Specifications Quarterly Interview	Form
Attachment E - CEQ RI Instrument Specs and Attachments .pdf	Other-Specifications
Attachment G - 2020 Interview Information Booklet.pdf	Instruction
Attachment B Interview Instrument Specifications Attachment B - Interview Instrument Specifications.pdf	Form
Attachment K(b) - CE-303-L6 Interview Thank you Letter.pdf Attachment K(b) Interview Thank you letter	IC Document
Attachment N - Interview Informational Flyer 2015.pdf Attachment N - Interview Informational Flyer	IC Document
Attachment L - certificate of appreciation, CE-900.pdf Attachment L - Certificate of Appreciation	IC Document
Attachment I (a) - Interview Advance Letter - First Interview - CE 303l1 2019.pdf Attachment I(a)	IC Document
Attachment I (b) - Interview Advance Letter - Second Interview - CE 303L2 2019.pdf Attachment I(b)	IC Document
Attachment I (c) - Interview Advance Letter - Third Interview - CE 303L2R 2019 Revised OMB Package.pdf Attachment I(c)	IC Document
Attachment I (d) - Interview Advance Letter - Fourth Interview - CE 303L4 2019 Final.pdf Attachment I(d)	IC Document
Attatchment Y - Date of Birth Research Study.docx Attachment Y - DOB Research	IC Document

IC Title:

Quarterly Interview

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.	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Specifications		Yes	Yes	Fillable Fileable
Instruction		No		Paper Only
Form	Attachment B	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: 6,067

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	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	27,180	491	26,689
Annual IC Time Burden (Hours)	28,798	893	27,905
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Attachment K(b) Interview Thank you letter		05/02/2019
Attachment N - Interview Informational Flyer		05/02/2019
Attachment L - Certificate of Appreciation		05/02/2019
Attachment I(a)		05/23/2019
Attachment I(b)		05/23/2019
Attachment I(c)		05/23/2019
Attachment I(d)		05/23/2019
Attachment Y - DOB Research		07/01/2019

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

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