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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
2013 CPS ASEC Content Test
Agency IC Tracking Number:
Is this a Common Form?
No
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-Confidentiality Brochure
B. Confidentiality brochure.pdf
Yes
Yes
Fillable Fileable
Other-Advance Letter
C. CPS ASEC Advanced letter.docx
Yes
Yes
Fillable Fileable
Form
Items Booklet - Health Insurance
Items Booklet - Health Insurance
D. Items Booklet - health insurance.pdf
Yes
Yes
Fillable Fileable
Form
Items Booklet - Income & Other Questions
Items Booklet - Income & Other Questions
G. Items Booklet - Income v2.pdf
Yes
Yes
Fillable Fileable
Other-Survey Instrument Flow Document
E. Survey instrument flow document v7.vsd
Yes
Yes
Fillable Fileable
Other-Survey Instrument Path Diagrams
F. CPS ASEC 2013 flow doc_v25.docx
Yes
Yes
Fillable Fileable
Other-Scripted Scenario - Health Insurance Module
M. Scripted scenario health insurance.docx
Yes
Yes
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:
15,000
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
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
15,000
0
15,000
0
0
0
Annual IC Time Burden (Hours)
10,000
0
10,000
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
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.