View Information Collection (IC)

View Information Collection (IC)

IC Title:	2020 Respondent Privacy Cognitive Interviews Round 2	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
Form and Instruction	1	Privacy and Confidentiality Questionnaire	Attachment I - Decennial Privacy Concerns Questionnaire_Multi-Person HH 6.27.18.docx		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: 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	20	0	20	0	0	0
Annual IC Time Burden (Hours)	22	0	22	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
OMB Memo	Respondent Privacy Concerns OMB Memo (2).docx	06/29/2018
Recruitment Ads	Attachment II - Recruitment Advertisements.pdf	06/29/2018
Protocol	Attachment III - Decennial Privacy Concerns Protocol 7.30.18.docx	08/06/2018
Consent Form	Attachment IV - Consent Form.docx	06/29/2018
Recruitment Screener	Attachment V - Recruitment Eligibility Screeners.docx	06/29/2018

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