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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
2030 Decennial Admin Data Research 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
1
Interview Protocol
Attachment 1_CO13 Interview Protocol_02282024_clean.docx
Yes
Yes
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:
100 %
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)
25
0
25
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
OMB Memo
CO13_OMB_Memo_2030 Decennial Admin Data Uses Interviews_02282024_clean.docx
03/01/2024
Attachment 2-Recruitment Screener
Attachment 2_CO13 Recruitment Screener_updated02272024.docx
03/01/2024
Attachment 1-Interview Protocol
Attachment 1_CO13 Interview Protocol_02282024_clean.docx
03/01/2024
Attachment 3-Recruitment Materials
Attachment 3_CO13 Recruitment Online Ad Template and Flyer.docx
03/01/2024
Attachment 4-Recruitment emails
Attachment 4_CO13 Interview Recruitment Email Templates.docx
03/01/2024
Attachment 5-Consent form
Attachment 5_CO13 Consent Form_02282024.docx
03/01/2024
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.