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Household Pulse March 2021 Pretesting Survey
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1 Protocol and Questions Enclosure 1.docx No   Fillable Fileable

General Government Central Records & Statistical Mgt

 

15 0
   
Individuals or Households
 
   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) 17 0 17 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
OMB Memo Pulse March 2021 Cog Testing OMB Memo (2).docx 01/21/2021
Consent Form Enclosure 2.docx 01/21/2021
Ads and Screener Questions Enclosure 3.docx 01/21/2021
Protocol revised Enclosure 1-Protocol-OMB-tracked changes-OMB 01282021_clean.docx 01/28/2021
Consent form Enclosure 2-Consent form -clean revision.docx 01/28/2021
Recruiting advert Enclosure 3-Advertisement-clean revision.docx 01/28/2021
OMB memo Pulse March 2021 Cog Testing OMB Memo-clean revision.docx 01/28/2021
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.