Information Collection

Online Diary Study

IC 246684 under ICR 202104-1530-001 · OMB 1530-0072.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
MUD Online Diary Study_v1.docx	Other-Survey
MUD Online Diary Study_v1.docx	Other-Survey
MUD Diary Study Screener.docx	Other-Screener Questions
MUD Diary Study Screener.docx	Other-Screener Questions

IC Title:

Online Diary Study

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
Other-Survey			MUD Online Diary Study_v1.docx		Yes	Yes	Fillable Fileable
Other-Screener Questions			MUD Diary Study Screener.docx		Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Central Fiscal Operations

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 30

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	30	30
Annual IC Time Burden (Hours)	60	60
Annual IC Cost Burden (Dollars)	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.