OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Survey 2 (respondents)

IC 247277 under ICR 202102-0960-005 · OMB 0960-0823.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Attachment A2. Survey 1 and 2 VR-12.pdf Other-VR Survey
Attachment A3. Survey 1 and 2 WD-FAB items.pdf Other-WD-FAB Items
Attachment A4. Survey 1 Follow-up Questions.pdf Other-Follow-up Qiestions
Attachment A5. Survey 2 Follow-up Questions.pdf Other-Survey 2 Follow-up Questions
Attachment A6. Study Invitation Letter.pdf Other-Study Invitation Letter
Attachment A7. Research Consent Form.pdf Other-Research Consent Form
Attachment A8. Study App Download Instructions.pdf Other-Study App Download Instruction
Attachment A10. Text Message Reminders.pdf Other-Text Message Reminders
Attachment A11. Survey 1 and 2 Initial Emails.pdf Other-Inital Emails
Attachment A12. Survey 1 and 2 Reminder Emails.pdf Other-Reminder Emails
Attachment A14. Study App Push Notifications.pdf Other-Study App Download Instruction

Information Collection (IC) Details

View Information Collection (IC)

layout table

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-VR Survey Attachment A2. Survey 1 and 2 VR-12.pdf Yes Yes Fillable Fileable
Other-WD-FAB Items Attachment A3. Survey 1 and 2 WD-FAB items.pdf Yes Yes Fillable Fileable
Other-Follow-up Qiestions Attachment A4. Survey 1 Follow-up Questions.pdf Yes Yes Fillable Fileable
Other-Survey 2 Follow-up Questions Attachment A5. Survey 2 Follow-up Questions.pdf Yes Yes Fillable Fileable
Other-Study Invitation Letter Attachment A6. Study Invitation Letter.pdf No   Paper Only
Other-Research Consent Form Attachment A7. Research Consent Form.pdf Yes Yes Fillable Fileable
Other-Study App Download Instructions Attachment A8. Study App Download Instructions.pdf Yes No Paper Only
Other-Text Message Reminders Attachment A10. Text Message Reminders.pdf Yes No Paper Only
Other-Inital Emails Attachment A11. Survey 1 and 2 Initial Emails.pdf Yes No Paper Only
Other-Reminder Emails Attachment A12. Survey 1 and 2 Reminder Emails.pdf Yes No Paper Only
Other-Study App Download Instructions Attachment A14. Study App Push Notifications.pdf Yes No Paper Only

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  Requested Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 2,400 0 2,400 0 0 0
Annual IC Time Burden (Hours) 3,000 0 3,000 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 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.