View Information Collection (IC)

View Information Collection (IC)

IC Title:	2030 Household Roster	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	Questionnaire	Attachment B Questionnaire_clean_12122022.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: 30	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	30	0	30	0	0	0
Annual IC Time Burden (Hours)	40	0	40	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
OMB Memo	2030 Roster OMB Memo_clean_12122022.docx	12/14/2022
Protocol	Attachment A Protocol for Roster 2030 Research.docx	12/14/2022
Consent Form and Voucher Form	Attachment C-Consent and Voucher Form_clean_12122022.docx	12/14/2022
Communication Materials	Attachment D Communication Materials_clean_12122022.docx	12/14/2022

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