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⚠️ Notice: This information collection may be referencing outdated material.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

Document Name Document Type
Form CMEC-1 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

Information Collection (IC) Details

View Information Collection (IC)

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:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	CMEC-1	2023 Census of Medical Examiners and Coroners Offices (draft)	Appendix D_CMEC 2023 PAPI.docx	Yes	Yes	Fillable Fileable
Instruction			Appendix E_CMEC Cognitive Interview Protocol_revised.docx	No		Paper Only
Form and Instruction	CMEC-X	2023 Census of Medical Examiners and Coroners Offices (draft addendum questions)	Appendix H_CMEC Addendum Questions.docx	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 %

	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

Title	Document	Date Uploaded
CMEC Generic Clearance Memo to OMB	CMEC2023_OMBClearanceMemo.docx	11/14/2023
Verification Materials	Appendix A_Verification Materials.docx	11/14/2023
Cognitive Recruitment Materials	Appendix B_CMEC Cognitive Interveiw Recruitment Materials.docx	11/14/2023
Cog Interview Informed Consent	Appendix C_CMEC_Cognitive Interview_Informed Consent.docx	11/14/2023
CMEC Goals Scorecard	Appendix F_CMEC Goals Showcard 2023.docx	11/14/2023
CMEC Cog Interview IRB submission	Appendix G_IRB Submission.docx	11/14/2023
GEN IC template CMEC	Gen IC Template 1121-0339_CMEC 2023.docx	11/14/2023

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