OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Cognitive Interviews

IC 214643 under ICR 202510-0910-002 · OMB 0910-0932.

Documents and Forms
Document Name
Document Type
Other-Cognitive Testing
Other-Cognitive Testing
Information Collection (IC) Details

View Information Collection (IC)

Cognitive Interviews
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Cognitive Testing 0932 NYTS Att N4_Cognitive Testing Screeners_20240520a_clean.docx No   Fillable Fileable

Health Consumer Health and Safety

 

30 0
   
Individuals or Households
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 60 0 0 0 0 60
Annual IC Time Burden (Hours) 120 0 0 0 0 120
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
No associated records found
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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