Cognitive Interviewing for the Content Harmonization and Collection Unit Determination Instrument

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⚠️ Notice: This information collection may be referencing outdated material.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 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

Information Collection (IC) Details

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:

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 %

	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

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.