Information Collection

CPS Disability Supplement

IC 199992 under ICR 202311-1220-001 · OMB 1220-0186.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Attachment A_Disability_Questionnaire.docx	Other-CATI/CAPI
Attachment A_Disability_Questionnaire.docx	Other-CATI/CAPI

IC Title:

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
Other-CATI/CAPI			Attachment A_Disability_Questionnaire.docx		Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records

Title: COMMERCE/Census-3

FR Citation: 77 FR 18205

Number of Respondents: 42,500

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	42,500	-63,500	106,000
Annual IC Time Burden (Hours)	3,542	-5,291	8,833
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.