Information Collection

Household Pulse Survey Phase 3.9

IC 241411 under ICR 202304-0607-003 · OMB 0607-1013.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0607-1013 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form PART A, ATTACH A_P Household Pulse Survey Phase 3.9	Form
PART A, ATTACH A_P PART A, ATTACH A_Phase 3.9 Questionnaire PART A, ATTACH A_Phase 3.9 Questionnaire (1).docx	Form
PART A, ATTACH A_P PART A, ATTACH A_Phase 3.9 Questionnaire PART A, ATTACH A_Phase 3.9 Questionnaire (1).docx	Form

IC Title:

Household Pulse Survey Phase 3.9

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
Form	PART A, ATTACH A_Phase 3.9 Questionnaire	PART A, ATTACH A_Phase 3.9 Questionnaire	PART A, ATTACH A_Phase 3.9 Questionnaire (1).docx		Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 215,133

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	Previously Approved
Annual Number of Responses for this IC	215,133	152,233	62,900
Annual IC Time Burden (Hours)	71,639	50,882	20,757
Annual IC Cost Burden (Dollars)	0	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.