Information Collection

2024 CPS Disability Supplement Cognitive Testing - amended

IC 259315 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⚠️ Notice: This information collection may be referencing outdated material.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 Attachment A Cognitive Interview Protocol 2024 CPS Disability Supplement Cognitive Testing - amended	Form and Instruction
Form Attachment B Online Study Protocol 2024 CPS Disability Supplement Cognitive Testing - amended	Form and Instruction
Form Attachment D Screener Questions for Cognitive Interviews 2024 CPS Disability Supplement Cognitive Testing - amended	Form and Instruction
Form Attachment E - Survey Questionnaire for Remote and Online 2024 CPS Disability Supplement Cognitive Testing - amended	Form
Attachment A Cognitive Interview Protocol Attachment A Cognitive interview protocol_5.2.23.docx	Form and Instruction
Attachment B Online Study Protocol Attachment B Online study protocol_5.2.23.docx	Form and Instruction
Attachment D Screener Questions for Cognitive Interviews Attachment D Screening Questionnaire Phone recruitment for cognitive interviews_5.2.23.docx	Form and Instruction
Attachment E - Survey Questionnaire for Remote and Online Attachment E Full survey questionnaire for cognitive test and online study with universes and skip patterns_5.2.23.docx	Form
CPS 2024 Disability Supplement OMB_5.2.23_amended with highlights.docx Note to Reviewer - 2024 CPS Disability Supplement Cognitive Testing - amended	IC Document
Attachment C Advertisements_5.2.23.docx Attachment C - Advertisements	IC Document

IC Title:

2024 CPS Disability Supplement Cognitive Testing - amended

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.	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	Attachment A	Yes	No	Printable Only
Form and Instruction	Attachment B	Yes	Yes	Fillable Fileable
Form and Instruction	Attachment D	Yes	No	Printable Only
Form	Attachment E -	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: 700

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 95 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	700	700
Annual IC Time Burden (Hours)	159	159
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Note to Reviewer - 2024 CPS Disability Supplement Cognitive Testing - amended		05/23/2023
Attachment C - Advertisements		05/23/2023

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

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