CPS Disability Supplement

Current Population Survey Disability Supplement

Documents and Forms

Document Name Document Type
Attachment A_Disability_Questionnaire.docx Other-CATI/CAPI
Attachment A_Disability_Questionnaire.docx Other-CATI/CAPI

Information Collection (IC) Details

IC Title:	CPS Disability Supplement	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection 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 %

	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

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.