Information Collection

Cognitive Interviewing for the Content Harmonization and Collection Unit Determination Instrument

IC 243808 under ICR 201909-0607-002 · OMB 0607-0725.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Cognitive Interviewing for the Content Harmonization and Collection Unit Determination Instrument	Form and Instruction
1 Protocol Attachment A Harmonization_Protocol 9-25-2020.docx	Form and Instruction
2 Card Sort Attachment B Harmonization_Card_Sort 9-25-2020.docx	Form and Instruction
Harmonization OMB letter FINAL 9-25-2020.docx OMB Memo	IC Document
Attachment C SfB Consent form 9-25-2020.docx Consent Form	IC Document
Harmonization OMB letter FINAL 9-25-2020-OMB clean 11.18.20.docx Harmonization OMB letter FINAL 9-25-2020-OMB clean 11.18.20	IC Document
Attachment A Harmonization_Protocol 9-25-2020 clean 11.18.20.docx Attachment A Harmonization_Protocol 9-25-2020 clean 11.18.20	IC Document

IC Title:

Cognitive Interviewing for the Content Harmonization and Collection Unit Determination Instrument

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	Protocol	Attachment A Harmonization_Protocol 9-25-2020.docx		No		Fillable Fileable
Form and Instruction	2	Card Sort	Attachment B Harmonization_Card_Sort 9-25-2020.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: 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 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	40	40
Annual IC Time Burden (Hours)	143	143
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
OMB Memo	Harmonization OMB letter FINAL 9-25-2020.docx	09/28/2020
Consent Form	Attachment C SfB Consent form 9-25-2020.docx	09/28/2020
Harmonization OMB letter FINAL 9-25-2020-OMB clean 11.18.20	Harmonization OMB letter FINAL 9-25-2020-OMB clean 11.18.20.docx	11/24/2020
Attachment A Harmonization_Protocol 9-25-2020 clean 11.18.20	Attachment A Harmonization_Protocol 9-25-2020 clean 11.18.20.docx	11/24/2020

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