Information Collection

CPS Field Test 2 Pretesting

IC 280376 under ICR 202502-1220-005 · OMB 1220-0141.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Attachment A Cogni Attachment A Cognitive interview protocol CPS Field Test 2 Pretesting	Form and Instruction
Form Attachment B Web s Attachment B Web survey protocol CPS Field Test 2 Pretesting	Form and Instruction
Attachment A Cogni Attachment A Cognitive interview protocol Attachment A Cognitive interview protocol.docx	Form and Instruction
Attachment B Web s Attachment B Web survey protocol Attachment B Web survey protocol.docx	Form and Instruction
Note to Reviewer - CPS Field Test 2 OMB Package.docx Note to Reviewer	IC Document
Attachment C Screening Questions for Remote Cognitive Interviews.docx Attachment C Screening Questions for Remote Cognitive Interviews	IC Document
Attachment D Advertisements for Remote Cognitive Interviews.docx Attachment D Advertisements for Remote Cognitive Interviews	IC Document

IC Title:

Agency IC Tracking Number:

22601

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
Form and Instruction	Attachment A Cognitive interview protocol				No		Paper Only
Form and Instruction	Attachment B Web survey protocol				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: 865

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 95 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	865	865
Annual IC Time Burden (Hours)	225	225
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Note to Reviewer		05/08/2026
Attachment C Screening Questions for Remote Cognitive Interviews		05/08/2026
Attachment D Advertisements for Remote Cognitive Interviews		05/08/2026

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

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