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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
2017 NCVS Mail Materials Project
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
Instruction
NCVS 593_Cognitive Interviewing Version.docx
No
Fillable Fileable
Instruction
NCVS 573_Cognitive Interviewing Version.docx
No
Fillable Fileable
Instruction
NCVS 572_Cognitive Interviewing Version.docx
No
Fillable Fileable
Instruction
NCVS-110_2014 Factsheet_English_12_22_15.pdf
No
Fillable Fileable
Instruction
NCVS_Infographic_v5_green.pdf
No
Fillable Fileable
Instruction
NCVS BC335A envelope.pdf
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:
15
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
15
0
15
0
0
0
Annual IC Time Burden (Hours)
18
0
18
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
OMB Memo
OMB Memo_NCVS_Mail Materials_04202017.docx
04/20/2017
Protocol
NCVS Mail Materials Cognitive Interviewing Protocol_04202017.docx
04/20/2017
Screener
Screener_NCVS Mail Materials.docx
04/20/2017
Infographic without styling
NCVS_Infographic Content for Cognitive Interviewing.docx
04/20/2017
Consent Form
Consent forms for Demographic Surveys_NCVS.doc
04/20/2017
OMB Memo Revised
OMB letter - NCVS cognitive interviewing_jp.docx
05/19/2017
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.