Information Collection Request

Generic Information Collection Plan to Conduct Cognitive and Pilot Testing of Research Methods, Instruments, and Forms

ICR 201909-3170-002 · OMB 3170-0055 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
3170-0055 - Generic IC Template OMB.docx Supplementary Document Uploaded 2019-09-12 Available
3170-0055_Cognitive testing generic SS B 30-day OMB.docx Supporting Statement B Uploaded 2019-09-12 Available
3170-0055_Cognitive testing generic SS A_2-30-day OMB.docx Supporting Statement A Uploaded 2019-09-12 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
255219 Financial Well-Being Cognitive Testing Other-interview questions New

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
12/31/2022 36 Months From Approved
5,190 0 0
5,460 0 0
0 0 0






table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 5,190 0 0 5,190 0 0
Annual Time Burden (Hours) 5,460 0 0 5,460 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No