2020 ACES with COVID questions Content Test Cognitive Interviews

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⚠️ Notice: This information collection may be referencing outdated material.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

Information Collection (IC) Details

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:

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 %

	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

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.