2021 ABS Cognitive Testing

Generic Clearance for Questionnaire Pretesting Research

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0607-0725 can be found here:

Documents and Forms

Document Name Document Type
Form 1 2021 ABS Cognitive Testing Form and Instruction
1 2021 ABS Draft Content Attachment B - 2021 ABS Proposed Modules 06222020.docx Form and Instruction
2 2019 ABS worksheet Attachment C - 2019 ABS Questionnaire.pdf Form and Instruction
2021 ABS Content Cognitive Testing OMB Request 06222020.docx OMB Memo IC Document
Attachment A - 2021 ABS Content Testing Protocol.pdf Protocol IC Document
Attachment D - Consent form with PRA content 2021 ABS.pdf Consent Form IC Document

Information Collection (IC) Details

IC Title:	2021 ABS Cognitive Testing	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1	2021 ABS Draft Content	Attachment B - 2021 ABS Proposed Modules 06222020.docx		No		Fillable Fileable
Form and Instruction	2	2019 ABS worksheet	Attachment C - 2019 ABS Questionnaire.pdf		No		Fillable Fileable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 40	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	40	40
Annual IC Time Burden (Hours)	50	50
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
OMB Memo	2021 ABS Content Cognitive Testing OMB Request 06222020.docx	06/23/2020
Protocol	Attachment A - 2021 ABS Content Testing Protocol.pdf	05/11/2020
Consent Form	Attachment D - Consent form with PRA content 2021 ABS.pdf	05/11/2020

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