Information Collection

2020 ACES with COVID questions Content Test Cognitive Interviews

IC 244326 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⚠️ Notice: This information collection may be referencing outdated material.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 2020 ACES with COVID questions Content Test Cognitive Interviews	Form and Instruction
1 2019 ACES ACES COVID questions - OMB Attachment B - 2019 ACES.pdf	Form and Instruction
2 ACES COVID Questions 2020 Annual Capital Expenditures Survey New Content_V3.3 -OMB attachment A.docx	Form and Instruction
OMB Memo ACES Content Test FINAL-revised 11.4.20 clean.docx OMB Memo	IC Document
2020 Annual Capital Expenditures Survey New Content_Cognitive_Interviewing_Protocol ATTACHMENT C revised 11.4.20 clean.docx Protocol	IC Document
2020 ACES COVID testing consent form ATTACHMENT D-updated 11.4.20 clean.docx Consent Form	IC Document

IC Title:

2020 ACES with COVID questions Content Test Cognitive Interviews

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	2019 ACES	ACES COVID questions - OMB Attachment B - 2019 ACES.pdf		No		Fillable Fileable
Form and Instruction	2	ACES COVID Questions	2020 Annual Capital Expenditures Survey New Content_V3.3 -OMB attachment A.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: 30

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	30	30
Annual IC Time Burden (Hours)	25	25
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
OMB Memo	OMB Memo ACES Content Test FINAL-revised 11.4.20 clean.docx	11/05/2020
Protocol	2020 Annual Capital Expenditures Survey New Content_Cognitive_Interviewing_Protocol ATTACHMENT C revised 11.4.20 clean.docx	11/05/2020
Consent Form	2020 ACES COVID testing consent form ATTACHMENT D-updated 11.4.20 clean.docx	11/05/2020

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