View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	Older Americans Debt Experiences Survey Measurement Testing	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
Other-interview			Interview Protocol.docx		No		Printable Only
Other-recruitment screener			Older Americans Cognitive Testing Screener (Privacy).docx		No		Printable Only

Federal Enterprise Architecture Business Reference Module

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 250	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	250	0	250	0	0	0
Annual IC Time Burden (Hours)	83	0	83	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
3170-0036 (Older Americans Exp) supporting statement	3170-0036 (Older Americans Exp) supporting statement.docx	03/14/2023
Older Americans Debt Concepts Screener Privacy Act statement	Older Americans Debt Concepts Screener Privacy Act statement.pdf	03/14/2023
Older Americans Debt Concepts Interview Privacy notice	Older Americans Debt Concepts Interview Privacy notice.pdf	03/14/2023

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