Information Collection

CE Diary Collection Procedure Changes

IC 241925 under ICR 202005-1220-003 · OMB 1220-0196.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1220-0196 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Attachment D CE Diary Collection Procedure Changes	Form and Instruction
Attachment D Diary Form Attachment D - CED CAPI Instrument.pdf	Form and Instruction
Attachment B - CED Paper Diary Email Template.docx Attachment B - Diary Email template	IC Document

IC Title:

CE Diary Collection Procedure Changes

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 and Instruction	Attachment D	Diary Form	Attachment D - CED CAPI Instrument.pdf		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: 3,398

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 50 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	10,194	10,194
Annual IC Time Burden (Hours)	849	849
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Attachment B - Diary Email template	Attachment B - CED Paper Diary Email Template.docx	05/21/2020

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