Information Collection

ATUS Verbatims Collection Study

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

Documents and Forms

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

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	ATUS Verbatims Collection Study	Agency IC Tracking Number:	22412

IC Status: New

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-Survey prompts			Attachment A Web survey prompts.xlsx		Yes	Yes	Fillable Fileable
Form and Instruction	Attachment B	Web Survey	Attachment B Web survey instrument.docx		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 %

	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

Title	Document	Date Uploaded
Note to Reviewer - ATUS Verbatims Collection Study	Note to Reviewer - ATUS Verbatims Collection Study Final.docx	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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