Information Collection

UI Non-Filer Supplement to CPS

IC 229293 under ICR 202104-1220-004 · OMB 1220-0193.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Attachment A-UINonfilerQuestionnaire_2022.docx	Other-CATI/CAPI
Attachment E-CPS Factsheet (April 2021).pdf CPS Factsheet	IC Document
Attachment F-CPS-Advance letter(MIS1).pdf CPS Advance Letter MIS 1	IC Document
Attachment G-CPS-Advance letter(MIS5).pdf CPS Advance Letter MIS 5	IC Document
Attachment I_Census Confidentiality brochure (2018).pdf Confidentiality 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/CAPI			Attachment A-UINonfilerQuestionnaire_2022.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: 45,000

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	45,000	45,000
Annual IC Time Burden (Hours)	2,250	2,250
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
CPS Factsheet	Attachment E-CPS Factsheet (April 2021).pdf	04/26/2021
CPS Advance Letter MIS 1	Attachment F-CPS-Advance letter(MIS1).pdf	04/26/2021
CPS Advance Letter MIS 5	Attachment G-CPS-Advance letter(MIS5).pdf	04/26/2021
Confidentiality Brochure	Attachment I_Census Confidentiality brochure (2018).pdf	04/26/2021

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