Information Collection

Well-being Supplement to the American Time Use Survey

IC 198728 under ICR 202004-1220-002 · OMB 1220-0185.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
A - 2021 Well-being Module questionnaire.docx	Other-CATI
D - ATUS Debit Card Mailer.pdf Attachment D - ATUS Debit Card Mailer	IC Document
E - Advance Letters.pdf Attachment E - Advance Letters	IC Document
F - Advance brochure.pdf Attachment F - Advance brochure	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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
Other-CATI			A - 2021 Well-being Module questionnaire.docx		Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 7,860

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	7,860	7,860
Annual IC Time Burden (Hours)	734	734
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Attachment D - ATUS Debit Card Mailer	D - ATUS Debit Card Mailer.pdf	12/16/2020
Attachment E - Advance Letters	E - Advance Letters.pdf	12/16/2020
Attachment F - Advance brochure	F - Advance brochure.pdf	12/16/2020

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