Information Collection

SmaRT Fall 2024 Cognitive Testing

IC 267728 under ICR 202508-0607-002 · OMB 0607-0725.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0607-0725 can be found here:

2025-12-30 - Revision of a currently approved collection

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 SmaRT Fall 2024 Cognitive Testing	Form and Instruction
Form 1 Internet Instrument SmaRT Fall 2024 Cognitive Testing	Form and Instruction
Form 2 Invitation Letter SmaRT Fall 2024 Cognitive Testing	Form and Instruction
Form 3 Reminder Letter SmaRT Fall 2024 Cognitive Testing	Form and Instruction
Form 4 Reminder Postcard SmaRT Fall 2024 Cognitive Testing	Form and Instruction
Form 5 Final Letter SmaRT Fall 2024 Cognitive Testing	Form and Instruction
Form 6 Questionnaire ID1 SmaRT Fall 2024 Cognitive Testing	Form and Instruction
Form 7 Questionnaire ID2 SmaRT Fall 2024 Cognitive Testing	Form and Instruction
Form 8 Back of Envelope Version 1 SmaRT Fall 2024 Cognitive Testing	Form and Instruction
Form 9 Back of Envelope Version 2 SmaRT Fall 2024 Cognitive Testing	Form and Instruction
Form 10 Combined race on a paper questionnaire SmaRT Fall 2024 Cognitive Testing	Form and Instruction
1 Internet Instrument Enclosure 2_Fall 2024 ISR Specification 04042024 v1.0.1.docx	Form and Instruction
1 Internet Instrument Enclosure 2_Fall 2024 ISR Specification 04042024 v1.0.1.docx	Form and Instruction
2 Invitation Letter Enclosure 8a_Invitation Letter.pdf	Form and Instruction
2 Invitation Letter Enclosure 8a_Invitation Letter.pdf	Form and Instruction
3 Reminder Letter Enclosure 8b_Reminder Letter.pdf	Form and Instruction
3 Reminder Letter Enclosure 8b_Reminder Letter.pdf	Form and Instruction
4 Reminder Postcard Enclosure 8c_Reminder Postcard.pdf	Form and Instruction
4 Reminder Postcard Enclosure 8c_Reminder Postcard.pdf	Form and Instruction
5 Final Letter Enclosure 8d_Final Letter.pdf	Form and Instruction
5 Final Letter Enclosure 8d_Final Letter.pdf	Form and Instruction
6 Questionnaire ID1 Enclosure 8e_Questionnaire ID1.pdf	Form and Instruction
6 Questionnaire ID1 Enclosure 8e_Questionnaire ID1.pdf	Form and Instruction
7 Questionnaire ID2 Enclosure 8f_Questionnaire ID2.pdf	Form and Instruction
7 Questionnaire ID2 Enclosure 8f_Questionnaire ID2.pdf	Form and Instruction
8 Back of Envelope Version 1 Enclosure 8g_Back of Envelope Version 1.docx	Form and Instruction
8 Back of Envelope Version 1 Enclosure 8g_Back of Envelope Version 1.docx	Form and Instruction
9 Back of Envelope Version 2 Enclosure 8h_Back of Envelope Version 2.docx	Form and Instruction
9 Back of Envelope Version 2 Enclosure 8h_Back of Envelope Version 2.docx	Form and Instruction
10 Combined race on a paper questionnaire Enclosure 9 Combined race on a paper questionnaire.docx	Form and Instruction
10 Combined race on a paper questionnaire Enclosure 9 Combined race on a paper questionnaire.docx	Form and Instruction
omb letter fall 2024-clean.docx OMB Memo	IC Document
omb letter fall 2024-clean.docx OMB Memo	IC Document
Enclosure 1_ consent form and privacy notice updated_clean.docx Consent Form	IC Document
Enclosure 1_ consent form and privacy notice updated_clean.docx Consent Form	IC Document
Enclosure 3_SmaRT Testing of Decennial Mail Materials Protocol Fall 2024_clean.docx Decennial Mail Materials Protocol	IC Document
Enclosure 3_SmaRT Testing of Decennial Mail Materials Protocol Fall 2024_clean.docx Decennial Mail Materials Protocol	IC Document
Enclosure 4_SmaRT Testing of Decennial Instrument Protocol Fall 2024 v1.2.docx Decennial Instrument Protocol	IC Document
Enclosure 4_SmaRT Testing of Decennial Instrument Protocol Fall 2024 v1.2.docx Decennial Instrument Protocol	IC Document
Enclosure 5_satisfaction questions.docx Satisfaction questions	IC Document
Enclosure 5_satisfaction questions.docx Satisfaction questions	IC Document
Enclosure 6 Debriefing questions_v1.1.pptx Debriefing questions	IC Document
Enclosure 6 Debriefing questions_v1.1.pptx Debriefing questions	IC Document
Enclosure 7_Knowledge Check.docx Knowledge Check	IC Document
Enclosure 7_Knowledge Check.docx Knowledge Check	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

SmaRT Fall 2024 Cognitive Testing

Agency IC Tracking Number:

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Electronic Capability
Form and Instruction	1	No	Fillable Fileable
Form and Instruction	2	No	Fillable Fileable
Form and Instruction	3	No	Fillable Fileable
Form and Instruction	4	No	Fillable Fileable
Form and Instruction	5	No	Fillable Fileable
Form and Instruction	6	No	Fillable Fileable
Form and Instruction	7	No	Fillable Fileable
Form and Instruction	8	No	Fillable Fileable
Form and Instruction	9	No	Fillable Fileable
Form and Instruction	10	No	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 20

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	20	20
Annual IC Time Burden (Hours)	36	36
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
OMB Memo		05/16/2024
Consent Form		05/16/2024
Decennial Mail Materials Protocol		05/16/2024
Decennial Instrument Protocol		05/16/2024
Satisfaction questions		05/16/2024
Debriefing questions		05/16/2024
Knowledge Check		05/16/2024

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

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