View Information Collection (IC)

View Information Collection (IC)

IC Title:	Cognitive Research on Experimental CPS Health Insurance Questions	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Experimental CPS Health Insurance Questions			ombhealthinsuranceenc1.wpd		No		Paper Only
Other-Household Roster & Demographics			ombhealthinsuranceenc2.doc		No		Paper Only
Other-Demographic Questions			demos update.wpd		No		Paper Only
Other-Flashcards			flashcards update.doc		No		Paper Only

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: 40	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 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	40	0	0	0	0	0
Annual IC Time Burden (Hours)	40	0	0	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
Cognitive Interviewing Plan	ombhealthinsurance.wpd	05/08/2008

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