Information Collection

ATUS AI Supplement Cognitive Testing

IC 281312 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 Cognitive Interview Protocol ATUS AI Supplement Cognitive Testing	Form and Instruction
Form Attachment B Online Survey Protocol ATUS AI Supplement Cognitive Testing	Form and Instruction
Attachment A Cognitive Interview Protocol Attachment A Cognitive Interview Protocol.docx (Microsoft Teams Interviews)	Form and Instruction
Attachment B Online Survey Protocol Attachment B Online Survey.docx (CloudResearch Link Sent Individually to Participants)	Form and Instruction
Note to Reviewer - ATUS AI Supplement Testing.docx Note to Reviewer - ATUS AI Supplement Cognitive Testing	IC Document
Attachment C Advertisements.docx Attachment C - Advertisements	IC Document

IC Title:

Agency IC Tracking Number:

22605

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			(Microsoft Teams Interviews)	Yes	No	Printable Only
Form and Instruction	Attachment B			(CloudResearch Link Sent Individually to Participants)	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: 1,550

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 97 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,550	1,550
Annual IC Time Burden (Hours)	297	297
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Note to Reviewer - ATUS AI Supplement Cognitive Testing		07/07/2026
Attachment C - Advertisements		07/07/2026

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

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