Information Collection

Cognitive Interview Data Collections for DOL Research

IC 266604 under ICR 202502-1290-004 · OMB 1290-0043.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1290-0043 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Appendix D Screener_4_3_v2_clean.docx forms.office.com/r/yaksEqb6PH	Other-Screener
Appendix D Screener_4_3_v2_clean.docx forms.office.com/r/yaksEqb6PH	Other-Screener
Appendix F National Worker Survey CI Guide_4_8_v2_clean.docx	Other-Interview Guide
Appendix F National Worker Survey CI Guide_4_8_v2_clean.docx	Other-Interview Guide
Appendix A WesInfo Advertisement.docx WesInfo Advertisement	IC Document
Appendix A WesInfo Advertisement.docx WesInfo Advertisement	IC Document
Appendix B Social Media Advertisement.docx Social Media Advertisement	IC Document
Appendix B Social Media Advertisement.docx Social Media Advertisement	IC Document
Appendix C E-mail to Worker Rights Organizations for Recruitment.docx E-mail to Worker Rights Organizations for Recruitment	IC Document
Appendix C E-mail to Worker Rights Organizations for Recruitment.docx E-mail to Worker Rights Organizations for Recruitment	IC Document
Appendix E Confirmation Email.docx Confirmation Email	IC Document
Appendix E Confirmation Email.docx Confirmation Email	IC Document
Appendix G Informed Consent_4_3.docx Informed Consent	IC Document
Appendix G Informed Consent_4_3.docx Informed Consent	IC Document
SSA Cognitive Interviews_Generic OMB_DOL Worker Survey_Westat edits.docx Supporting Statement Part A	IC Document
SSA Cognitive Interviews_Generic OMB_DOL Worker Survey_Westat edits.docx Supporting Statement Part A	IC Document

IC Title:

Cognitive Interview Data Collections for DOL Research

Agency IC Tracking Number:

IC Status: Modified

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-Screener				https://forms.office.com/r/yaksEqb6PH	Yes	Yes	Fillable Fileable
Other-Interview Guide					Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 35

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	35	35
Annual IC Time Burden (Hours)	24	24
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
WesInfo Advertisement		04/08/2024
Social Media Advertisement		04/08/2024
E-mail to Worker Rights Organizations for Recruitment		04/08/2024
Confirmation Email		04/08/2024
Informed Consent		04/08/2024
Supporting Statement Part A		04/08/2024

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

Something went wrong when downloading this file. If you have any questions, please send an email to [email protected].