Information Collection

Cognitive Interviews for 2023 Census of Medical Examiner and Coroner Offices

IC 263381 under ICR 202409-1121-002 · OMB 1121-0339.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1121-0339 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form CMEC-1 2023 Census of Medical Examiners and Coroners Offices (draft) Cognitive Interviews for 2023 Census of Medical Examiner and Coroner Offices	Form and Instruction
Form CMEC-X 2023 Census of Medical Examiners and Coroners Offices (draft addendum questions) Cognitive Interviews for 2023 Census of Medical Examiner and Coroner Offices	Form and Instruction
Appendix E_CMEC Cognitive Interview Protocol_revised.docx	Instruction
CMEC-1 2023 Census of Medical Examiners and Coroners Offices (d Appendix D_CMEC 2023 PAPI.docx	Form and Instruction
CMEC-X 2023 Census of Medical Examiners and Coroners Offices (d Appendix H_CMEC Addendum Questions.docx	Form and Instruction
CMEC2023_OMBClearanceMemo.docx CMEC Generic Clearance Memo to OMB	IC Document
Appendix A_Verification Materials.docx Verification Materials	IC Document
Appendix B_CMEC Cognitive Interveiw Recruitment Materials.docx Cognitive Recruitment Materials	IC Document
Appendix C_CMEC_Cognitive Interview_Informed Consent.docx Cog Interview Informed Consent	IC Document
Appendix F_CMEC Goals Showcard 2023.docx CMEC Goals Scorecard	IC Document
Appendix G_IRB Submission.docx CMEC Cog Interview IRB submission	IC Document
Gen IC Template 1121-0339_CMEC 2023.docx GEN IC template CMEC	IC Document

IC Title:

Cognitive Interviews for 2023 Census of Medical Examiner and Coroner Offices

Agency IC Tracking Number:

BJS

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	CMEC-1	Yes	Yes	Fillable Fileable
Instruction		No		Paper Only
Form and Instruction	CMEC-X	Yes	Yes	Fillable Fileable

Line of Business: Law Enforcement

Subfunction: Criminal Investigation and Surveillance

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 2,994

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 90 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	2,994	2,994
Annual IC Time Burden (Hours)	411	411
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
CMEC Generic Clearance Memo to OMB		11/14/2023
Verification Materials		11/14/2023
Cognitive Recruitment Materials		11/14/2023
Cog Interview Informed Consent		11/14/2023
CMEC Goals Scorecard		11/14/2023
CMEC Cog Interview IRB submission		11/14/2023
GEN IC template CMEC		11/14/2023

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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