Information Collection

Pilot Study for SOGI and Disability

IC 248167 under ICR 202106-0535-002 · OMB 0535-0226.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0535-0226 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Place Holder for Cognitive Interview questionnaire.docx	Other-Place holder for Cognitive Int
Place Holder for Cognitive Interview questionnaire.docx	Other-Place holder for Cognitive Int
Place Holder for Pilot Study for SOGI and Disability questionnaire.docx	Other-Place holder for SOGI Form
Place Holder for Pilot Study for SOGI and Disability questionnaire.docx	Other-Place holder for SOGI Form

IC Title:

Pilot Study for SOGI and Disability

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-Place holder for Cognitive Interview Form			Place Holder for Cognitive Interview questionnaire.docx		No		Paper Only
Other-Place holder for SOGI Form			Place Holder for Pilot Study for SOGI and Disability questionnaire.docx		No		Paper Only

Line of Business: Economic Development

Subfunction: Industry Sector Income Stabilization

Privacy Act System of Records

Title: SORN

FR Citation: 74 FR 79

Number of Respondents: 54,575

Number of Respondents for Small Entity: 51,850

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Farms

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	54,575	54,575
Annual IC Time Burden (Hours)	21,606	21,606
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.