Information Collection

Household Pulse Survey Phase 3.10

IC 241411 under ICR 202310-0607-001 · OMB 0607-1013.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form HPS Phase 3.10 Que Household Pulse Survey Phase 3.10	Form
Form HPS Phase 3.10 Que HPS Phase 3.10 Questionnaire Household Pulse Survey Phase 3.10	Form
HPS Phase 3.10 Que HPS Phase 3.10 Questionnaire PART A, ATTACH A_Phase 3.10 Questionnaire.docx	Form
HPS Phase 3.10 Que HPS Phase 3.10 Questionnaire PART A, ATTACH A_Phase 3.10 Questionnaire.docx	Form

IC Title:

Agency IC Tracking Number:

0607-1013

Is this a Common Form? No

IC Status: Unchanged

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	HPS Phase 3.10 Questionnaire				Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 193,530

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	Previously Approved
Annual Number of Responses for this IC	193,530	193,530
Annual IC Time Burden (Hours)	64,445	64,445
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.

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