Information Collection

Household Pulse Survey

IC 241398 under ICR 202004-0607-004 · OMB unassigned.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Household Pulse Survey	Form
Household Pulse Survey Questionnaire HH Pulse Survey Questionnaire_CLEAN FINAL_041820_w_EDUC.docx	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

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	NA	Household Pulse Survey Questionnaire	HH Pulse Survey Questionnaire_CLEAN FINAL_041820_w_EDUC.docx		Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,296,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,296,000	1,296,000
Annual IC Time Burden (Hours)	427,680	427,680
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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