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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Supplemental Computer and Internet Use Questionnaire (CIU) Cognitive Interviews
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
Test Questionnaire
ENCLOSURE 1 - CPS CIUS Questionnaire.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:
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
50
0
50
0
0
0
Annual IC Time Burden (Hours)
75
0
75
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 2022 CPS CIUS 120920.docx
12/16/2020
Protocol
ENCLOSURE 2 - Test Protocol.docx
12/16/2020
Recruitment Ads
ENCLOSURE 3 - Recruitment ads for CPS CIUS 121420.docx
12/16/2020
Recruitment Screener
ENCLOSURE 4 - Recruitment Screener 121420.docx
12/16/2020
Consent Form
ENCLOSURE 5 - CPS CIUS Consent Form.docx
12/16/2020
Revised OMB memo
OMB Memo 2022 CPS CIUS 120920-OMB 011421-OMB clean.docx
02/09/2021
Revised enclosure 1
ENCLOSURE 1 - CPS CIUS Questionnaire-OMB 012821 clean.docx
02/09/2021
Revised enclosure 2
ENCLOSURE 2 - Test Protocol-OMB 012821 clean.docx
02/09/2021
Revised enclosure 5
ENCLOSURE 5 - CPS CIUS Consent Form-OMB 011421 clean.docx
02/09/2021
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.