Information Collection

SBPS Phase 6 Cognitive Pretesting

IC 245013 under ICR 202106-0607-004 · OMB 0607-1014.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0607-1014 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Attachment A SBPS Phase 6 Protocol draft 4.27.21 v3-OMB revised 4.30.21 CLEAN (1).docx	Other-Phase 6 Cognitive Testing Prot
Attachment A SBPS Phase 6 Protocol draft 4.27.21 v3-OMB revised 4.30.21 CLEAN (1).docx	Other-Phase 6 Cognitive Testing Prot
Small Business Pulse Survey Phase 6 OMB generic clearance request draft letter 4.27.21 v2.docx	Other-Request for Phase 6 Cognitive
Small Business Pulse Survey Phase 6 OMB generic clearance request draft letter 4.27.21 v2.docx	Other-Request for Phase 6 Cognitive
SBPS Questionnaire SBPS Questionnaire (Phase 6 testing) Attachment B SBPS Phase 6 Questionnaire Centurion 4.27.2021 v4.docx	Form
SBPS Questionnaire SBPS Questionnaire (Phase 6 testing) Attachment B SBPS Phase 6 Questionnaire Centurion 4.27.2021 v4.docx	Form

IC Title:

SBPS Phase 6 Cognitive Pretesting

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Phase 6 Cognitive Testing Protocol			Attachment A SBPS Phase 6 Protocol draft 4.27.21 v3-OMB revised 4.30.21 CLEAN (1).docx	Yes	Yes	Fillable Fileable
Form	SBPS Questionnaire (Phase 6 testing)	SBPS Questionnaire (Phase 6 testing)	Attachment B SBPS Phase 6 Questionnaire Centurion 4.27.2021 v4.docx	Yes	Yes	Fillable Fileable
Other-Request for Phase 6 Cognitive Testing			Small Business Pulse Survey Phase 6 OMB generic clearance request draft letter 4.27.21 v2.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: 40

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	40	40
Annual IC Time Burden (Hours)	36	36
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.