Information Collection

ATUS Verbatims Collection Study

IC 274358 under ICR 202502-1220-005 · OMB 1220-0141.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Attachment B Web Survey ATUS Verbatims Collection Study	Form and Instruction
Attachment A Web survey prompts.xlsx	Other-Survey prompts
Attachment B Web Survey Attachment B Web survey instrument.docx	Form and Instruction
Note to Reviewer - ATUS Verbatims Collection Study Final.docx Note to Reviewer - ATUS Verbatims Collection Study	IC Document

IC Title:

Agency IC Tracking Number:

22412

IC Status: New

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-Survey prompts					Yes	Yes	Fillable Fileable
Form and Instruction	Attachment B				Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,875

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
Annual Number of Responses for this IC	1,875	1,875
Annual IC Time Burden (Hours)	158	158
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Note to Reviewer - ATUS Verbatims Collection Study		03/11/2025

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

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