Information Collection

ORS Third Wave Measurements Testing

IC 250805 under ICR 202009-1220-006 · OMB 1220-0141.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1220-0141 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Attachments Survey Protocol ORS Third Wave Measurements Testing	Form and Instruction
Attachments Survey Protocol Attachments - Survey Protocol.docx	Form and Instruction
Final ORS Cognitive Testing Clearance 2021 - Field Test 12.14.21.docx Note to Reviewer - ORS Third Wave Measurement Testing	IC Document

IC Title:

ORS Third Wave Measurements Testing

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	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	Attachments				Yes	No	Printable Only

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,000

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

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	1,000	1,000
Annual IC Time Burden (Hours)	127	127
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Note to Reviewer - ORS Third Wave Measurement Testing		12/16/2021

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

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