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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Cognitive Testing for COVID-19 Questions on the MEPS – IC
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
Protocol
MEPS_IC_COVID19 _Attachment A_protocol.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:
50
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits
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
50
0
50
0
0
0
Annual IC Time Burden (Hours)
29
0
29
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
OMB Memo
MEPS_IC_COVID19 _OMB letter.docx
09/14/2020
Consent Form
_MEPS_IC_COVID19_Attachment B_PIA content.docx
09/14/2020
MEPS_IC_COVID19 _Attachment A_protocol 10292020
MEPS_IC_COVID19 _Attachment A_protocol 10292020.docx
10/29/2020
MEPS_IC_COVID19 _OMB letter- 10262020
MEPS_IC_COVID19 _OMB letter- 10262020.docx
10/29/2020
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.