Information Collection

2020 Privacy and Confidentiality Evaluation Qualitative Research

IC 240973 under ICR 201911-0607-007 · OMB 0607-0971.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0607-0971 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 CPEX PC NPP-CPEP Screener 2020 Privacy and Confidentiality Evaluation Qualitative Research	Form and Instruction
Form 2 Interview PC NPP protocol 031920 2020 Privacy and Confidentiality Evaluation Qualitative Research	Form and Instruction
Form 3 Focus Group PC CPEP mod guide 2020 Privacy and Confidentiality Evaluation Qualitative Research	Form and Instruction
1 CPEX PC NPP-CPEP Screener ENCLOSURE 2 - CPEX PC NPP-CPEP Screener 031920.docx	Form and Instruction
2 Interview PC NPP protocol 031920 ENCLOSURE 3 - Int PC NPP protocol 031920 Final.docx	Form and Instruction
3 Focus Group PC CPEP mod guide ENCLOSURE 4 - FG PC CPEP mod guide 031920 Final.docx	Form and Instruction
OMB Memo 2020 Eval PC Qualitative 032420 Final.docx OMB Memo	IC Document
ENCLOSURE 1 - Recruitment ads for CPEP 031920.docx Recruitment Ads	IC Document
ENCLOSURE 5 - FG PC CPEP Consent Form (4).docx Focus Group Consent Form	IC Document
ENCLOSURE 6 - Int PC NPP Consent Form (4).docx Interview Consent Form	IC Document

IC Title:

2020 Privacy and Confidentiality Evaluation Qualitative Research

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	Available Electronically?	Electronic Capability
Form and Instruction	2	Interview PC NPP protocol 031920	ENCLOSURE 3 - Int PC NPP protocol 031920 Final.docx	No	Fillable Fileable
Form and Instruction	3	Focus Group PC CPEP mod guide	ENCLOSURE 4 - FG PC CPEP mod guide 031920 Final.docx	No	Fillable Fileable
Form and Instruction	1	CPEX PC NPP-CPEP Screener	ENCLOSURE 2 - CPEX PC NPP-CPEP Screener 031920.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: 58

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

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	58	58
Annual IC Time Burden (Hours)	142	142
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
OMB Memo	OMB Memo 2020 Eval PC Qualitative 032420 Final.docx	05/18/2020
Recruitment Ads	ENCLOSURE 1 - Recruitment ads for CPEP 031920.docx	04/02/2020
Focus Group Consent Form	ENCLOSURE 5 - FG PC CPEP Consent Form (4).docx	04/02/2020
Interview Consent Form	ENCLOSURE 6 - Int PC NPP Consent Form (4).docx	04/02/2020

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