Information Collection Request

Ask U.S. Panel

ICR 202204-0607-001 · OMB 0607-1020 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 1 Pilot Form and Instruction Modified Repair queued
Justification_topicals.docx Supplementary Document Uploaded 2022-04-05 Missing upstream
26_Screener and Baseline_SPA.xlsx Supplementary Document Uploaded 2022-02-23 Available
25_Ask US_IN_OUTBOUND_CATI SCRIPT_DRAFT_SPA.docx Supplementary Document Uploaded 2022-02-23 Available
24_Ask US FIELD FRONT_BACK_END_SPECS_SPA.docx Supplementary Document Uploaded 2022-02-23 Repair queued
23_Webscreens_Gen Pop only_SPA.docx Supplementary Document Uploaded 2022-02-23 Repair queued
22_Tablet_Instructions_SPA.docx Supplementary Document Uploaded 2022-02-23 Available
21_Tablet_Reciept_SPA.docx Supplementary Document Uploaded 2022-02-23 Repair queued
20_Topical Survey Incentive_Email_SPA.docx Supplementary Document Uploaded 2022-02-23 Repair queued
19_Topical Survey Incentive_Letter_SPA.docx Supplementary Document Uploaded 2022-02-23 Repair queued
18_Topical Survey Reminder_Postcard_SPA_FINAL.pub Supplementary Document Uploaded 2022-02-23 Repair queued
17_Topical Survey Invitation and Reminder_SMS_SPA.docx Supplementary Document Uploaded 2022-02-23 Repair queued
16_Topical Survey Reminder Emails_SPA.docx Supplementary Document Uploaded 2022-02-23 Repair queued
15_Topical Survey_Invitation_Email_SPA.docx Supplementary Document Uploaded 2022-02-23 Repair queued
14_Panel_Welcome_Letter_SPA.docx Supplementary Document Uploaded 2022-02-23 Repair queued
13_Panel FAQs_SPA.docx Supplementary Document Uploaded 2022-02-23 Repair queued
12_Panel_Brochure_Content_SPA.docx Supplementary Document Uploaded 2022-02-23 Repair queued
11_Baseline Reminder SPA.docx Supplementary Document Uploaded 2022-02-23 Repair queued
10_Baseline Invitation Letter_SPA.docx Supplementary Document Uploaded 2022-02-23 Available
9_NRFU Field Interview Incentive Reciept_SPA.docx Supplementary Document Uploaded 2022-02-23 Repair queued
8_Incentive_Email_Baseline_SPA.docx Supplementary Document Uploaded 2022-02-23 Repair queued
7_Incentive_Letter_Baseline_SPA.docx Supplementary Document Uploaded 2022-02-23 Repair queued
6_Incentive_Email_Screener_SPA.docx Supplementary Document Uploaded 2022-02-23 Repair queued
5_Incentive_Letter_Screener_SPA.docx Supplementary Document Uploaded 2022-02-23 Repair queued
4_Screener Reminder_Postcard_SPA.pub Supplementary Document Uploaded 2022-02-23 Repair queued
3_Screener Reminder_Letter_SPA.docx Supplementary Document Uploaded 2022-02-23 Repair queued
2_Screener_Invitation_Letter_SPA.docx Supplementary Document Uploaded 2022-02-23 Repair queued
1_Panel_Informed_Consent_SPA.docx Supplementary Document Uploaded 2022-02-23 Repair queued
27_Baseline Questionnaire_ENG.docx Supplementary Document Uploaded 2022-02-23 Repair queued
26_Screener Questionnaire_ENG.docx Supplementary Document Uploaded 2022-02-23 Repair queued
25_In-Outbound CATI script_ENG.docx Supplementary Document Uploaded 2022-02-23 Repair queued
24_Field front&back end specs-ENG.docx Supplementary Document Uploaded 2022-02-23 Repair queued
23_Webscreens Combined_DoD and Gep Pop_ENG.docx Supplementary Document Uploaded 2022-02-23 Repair queued
22_Tablet_Instructions_ENG.docx Supplementary Document Uploaded 2022-02-23 Available
21_Tablet_Reciept_ENG.docx Supplementary Document Uploaded 2022-02-23 Available
20_Topical Survey Incentive_Email_ENG.docx Supplementary Document Uploaded 2022-02-23 Repair queued
19_Topical Survey Incentive_Letter_ENG.docx Supplementary Document Uploaded 2022-02-23 Available
18_Topical Survey Reminder_Postcard_ENG.pub Supplementary Document Uploaded 2022-02-23 Repair queued
17_Topical Survey Invitation and Reminder_SMS_ENG.docx Supplementary Document Uploaded 2022-02-23 Repair queued
16_Topical Survey Reminder Emails_ENG.docx Supplementary Document Uploaded 2022-02-23 Repair queued
15_Topical Survey_Invitation_Email_ENG.docx Supplementary Document Uploaded 2022-02-23 Repair queued
14_Panel_Welcome_Letter_ENG.docx Supplementary Document Uploaded 2022-02-23 Repair queued
13_Panel FAQs_ENG.docx Supplementary Document Uploaded 2022-02-23 Repair queued
12_Panel_Brochure_Content_ENG.docx Supplementary Document Uploaded 2022-02-23 Repair queued
11_Baseline Reminder ENG.docx Supplementary Document Uploaded 2022-02-23 Repair queued
10_Baseline Invitation Letter_ENG.docx Supplementary Document Uploaded 2022-02-23 Repair queued
9_NRFU Field Interview Incentive Reciept_ENG.docx Supplementary Document Uploaded 2022-02-23 Repair queued
8_Incentive_Email_Baseline_ENG.docx Supplementary Document Uploaded 2022-02-23 Repair queued
7_Incentive_Letter_Baseline_ENG.docx Supplementary Document Uploaded 2022-02-23 Repair queued
6_Incentive_Email_Screener_ENG.docx Supplementary Document Uploaded 2022-02-23 Repair queued
5_Incentive_Letter_Screener_ENG.docx Supplementary Document Uploaded 2022-02-23 Available
4_Screener Reminder_Postcard_ENG.pub Supplementary Document Uploaded 2022-02-23 Repair queued
3_Screener Reminder_Letter_ENG.docx Supplementary Document Uploaded 2022-02-23 Available
2_Screener_Invitation_Letter_ENG.docx Supplementary Document Uploaded 2022-02-23 Missing upstream
1_Panel_Informed_Consent_ENG.docx Supplementary Document Uploaded 2022-02-23 Repair queued
17_DoD Baseline Questionnaire.docx Supplementary Document Uploaded 2022-02-23 Repair queued
16_In-Outbound CATI Script.docx Supplementary Document Uploaded 2022-02-23 Repair queued
15_Topical Survey Incentive_Email.docx Supplementary Document Uploaded 2022-02-23 Repair queued
14_Topical Survey Incentive_Letter.docx Supplementary Document Uploaded 2022-02-23 Repair queued
13_Topical Survey Reminder Emails.docx Supplementary Document Uploaded 2022-02-23 Repair queued
12_Topical Survey Reminder_Self Mailer.pub Supplementary Document Uploaded 2022-02-23 Repair queued
11_Topical Survey_Invitation_Email.docx Supplementary Document Uploaded 2022-02-23 Available
10_DoD Panel_Brochure.docx Supplementary Document Uploaded 2022-02-23 Repair queued
9_DoD_Panel FAQs.docx Supplementary Document Uploaded 2022-02-23 Repair queued
8_DoD_Informed_Consent.docx Supplementary Document Uploaded 2022-02-23 Available
7_DoD_Incentive Letter.docx Supplementary Document Uploaded 2022-02-23 Repair queued
6_Panel_Welcome_Letter.docx Supplementary Document Uploaded 2022-02-23 Repair queued
5_Reminder-Thankyou Postcard.pub Supplementary Document Uploaded 2022-02-23 Repair queued
4_DoD_Reminder Email_2.docx Supplementary Document Uploaded 2022-02-23 Repair queued
3_DoD_Reminder Email_1.docx Supplementary Document Uploaded 2022-02-23 Available
2_DoD_Reminder Letter.docx Supplementary Document Uploaded 2022-02-23 Repair queued
1_DoD_Baseline Invitation Letter.docx Supplementary Document Uploaded 2022-02-23 Repair queued
Supporting Statement Part B Ask US Pilot_2_15_legal.docx Supporting Statement B Uploaded 2022-02-22 Repair queued
Supporting Statement Part A Ask US Pilot_4_4_22.docx Supporting Statement A Uploaded 2022-04-04 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
251738 Pilot Form and Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
36 Months From Approved 04/30/2025
3,364 3,400
1,131 1,131
0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
Pilot 4, 1, 2, 3, 5, 6 DoD Baseline Questionnaire ,   English Baseline Questionnaire ,   English Screener Questionnaire ,   Spanish Baseline and Screener Questionnaire ,   Topical Survey ,   Topicals Pilot

table that charts list of burden
  Total Request Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 3,364 3,400 0 -36 0 0
Annual Time Burden (Hours) 1,131 1,131 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No